PRIYA BALAKRISHNAN (P.A.-C.) – Medical Physician Assistant, NPI 1528342342
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for PRIYA BALAKRISHNAN (P.A.-C.)
4300 CITY POINT DR STE 201
NORTH RICHLAND HILLS, TX 761808338
Phone: (817) 784-8268
Type: Mailing
1615 HOSPITAL PKWY STE 204
BEDFORD, TX 760225936
Phone: (817) 784-8268
Fax: (817) 283-8003
Type: Mailing
4300 City Point Dr Ste 201
North Richland Hills, TX 761808338
Phone: (817) 284-8222
Fax: (817) 595-5718
Type: Location
1631 Lancaster Dr
Suite 350
Grapevine, TX 760513585
Phone: (817) 784-8268
Fax: (817) 421-2167
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $968.
Total Amount is formed as General ($968) + Research ($0) + Ownership ($0) = $968.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($176).
Total Amount
$968
General + Research + Ownership
Payments
47
Total payment records
General Amount
$968
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 |
|---|---|
| Sumitomo Pharma America, Inc. | $176 |
| Endo USA, Inc. | $97 |
| Tolmar, Inc. | $63 |
| Verity Pharmaceuticals Inc. | $61 |
| Eisai Inc. | $60 |
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: 2011-12-27
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 |
|---|---|---|---|---|
| I20111227000523 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 84153 | Psa (prostate specific antigen) measurement, total | 85 | 70 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 79 | 60 | $0 |
| 81003 | Automated urinalysis test | 74 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 41 | $0 |
Insurance plans in this area (ZIP 76180)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 51798 | Ultrasound measurement of bladder capacity after voiding | 14 | 14 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Surgical Oncology | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Medical Oncology, Internal Medicine | TX | |
| Hematology/Oncology, Internal Medicine, Medical Oncology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX |
Reviews
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