NICHOLAS MARK BALOGA (PA-C) – Surgical Physician Assistant, NPI 1366764276
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for NICHOLAS MARK BALOGA (PA-C)
930 E Emerald Ave
Suite 511
Knoxville, TN 379174539
Phone: (865) 647-3550
Fax: (865) 647-3559
Type: Location
Alcoa Highway, Topside, Knoxville, Knox County, Tennessee, 37920, United States
STE 360
KNOXVILLE, TN 379201509
Phone: (865) 524-1869
Fax: (865) 544-6533
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: ZIMVIE INC. ($49).
Total Amount
$96
General + Research + Ownership
Payments
3
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $49 |
| Medtronic, Inc. | $30 |
| Boston Scientific Corporation | $17 |
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: 2010-05-20
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 |
|---|---|---|---|---|
| I20100520000792 | I | Physician Assistant | TN | 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 | 108 | 100 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 58 | 33 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 31 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 | 15 | $0 |
Insurance plans in this area (ZIP 37917)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Pain Management | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| N E U R O S U R G E R Y | TN | |
| Physician Assistant | TN | |
| - | TN | |
| Nurse Practitioner | MD | |
| - | TN | |
| N E U R O S U R G E R Y | TN |
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