JOHN E JR. BALMER (D.O.) – Family Medicine Physician, NPI 1104912476
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
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Provider Addresses for JOHN E JR. BALMER (D.O.)
PO BOX 211
SPARTANSBURG, PA 164340211
Phone: (814) 654-7334
Fax: (814) 654-7553
Type: Mailing
Spartansburg Regional Medical Center, John Balmer, DO, 132, Mechanic Street, Spartansburg, Crawford County, Pennsylvania, 16434, United States
SPARTANSBURG, PA 164340211
Phone: (814) 654-7334
Fax: (814) 654-7553
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 204 Open Payments records for all available years, with a total value of $4,870.
Total Amount is formed as General ($4,870) + Research ($0) + Ownership ($0) = $4,870.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($868).
Total Amount
$4,870
General + Research + Ownership
Payments
204
Total payment records
General Amount
$4,870
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $868 |
| AstraZeneca Pharmaceuticals LP | $606 |
| Novo Nordisk Inc | $597 |
| PFIZER INC. | $511 |
| Lilly USA, LLC | $207 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041206000579 | I | Family Practice | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 148 | 54 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 62 | 49 | $0 |
| 81002 | Urinalysis, manual test | 40 | 28 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 38 | 34 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 14 | $0 |
Insurance plans in this area (ZIP 16434)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Medical Oncology, Hematology | NM | |
| Orthopedic Surgery | MA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| Family Practice | PA |
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