npidexNPI registry + Medicare data

NICHOLAS BALOGA, PA-C

Surgical Physician Assistant · KNOXVILLE, TN

Individual Active NPI 1366764276

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024332539$399,794$43,081$33,178
2023290496$415,755$39,775$30,851
2022298472$428,212$43,944$32,249

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more125$70$51
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes106$39$31
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes72$100$80
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more59$87$63
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes32$136$108
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more20$126$98
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment15$133$106

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓1801TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Tennessee

See all Surgical Physician Assistant providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.