ANDREW PETER BALBAUGH (M.D.) – Internal Medicine Physician, NPI 1265640411
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
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Provider Addresses for ANDREW PETER BALBAUGH (M.D.)
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 370275098
Phone: (615) 920-7906
Fax: (615) 920-8775
Type: Mailing
Bevins Lane, Georgetown, Scott County, Kentucky, 40324, United States
SUITE F
GEORGETOWN, KY 403248534
Phone: (502) 863-2818
Fax: (502) 863-2764
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $2,840.
Total Amount is formed as General ($2,840) + Research ($0) + Ownership ($0) = $2,840.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($799).
Total Amount
$2,840
General + Research + Ownership
Payments
157
Total payment records
General Amount
$2,840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $799 |
| Corium, LLC | $271 |
| AstraZeneca Pharmaceuticals LP | $236 |
| ABBVIE INC. | $233 |
| Novo Nordisk Inc | $139 |
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: 2007-10-05
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 |
|---|---|---|---|---|
| I20071005000097 | I | Internal Medicine | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 50 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 37027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Internal Medicine, Pediatric Medicine | KY | |
| Pulmonary Disease, Critical Care (Intensivists) | KY | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| Physician Assistant | KY |
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