NPIMap

Individual provider Active NPI

John E Balmer Jr., D.O.

  • Family Medicine Physician
  • Spartansburg, PA
National Provider Identifier
1104912476
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007522L Issued in PA
Practice address
132 Mechanic St
Spartansburg, PA 16434-0211
Phone
(814) 654-7334
Fax
(814) 654-7553
NPI assigned
Oct 5, 2006
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007522L PA Primary

Addresses

Primary practice location

132 Mechanic St
Spartansburg, PA 16434-0211

Mailing address

PO Box 211
Spartansburg, PA 16434-0211
Phone (814) 654-7334

Other identifiers 2

IdentifierTypeStateIssuer
001511070MedicaidPA
104643OtherALUNISON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000579 PA Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Pain ManagementPractitioner - Osteopathic Manipulative MedicinePractitioner - Neurology 9032020953 Reassigns benefits to 4 organizations
Receives reassigned benefits from 4 practitioners
Practice locations: Spartansburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Neurology, Pain Management
Education
University of New England, College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

132 Mechanic St
Spartansburg, PA 16434-0211

132 Mechanic St
Spartansburg, PA 16434-1026
Phone (814) 654-7334

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
John E Balmer Jr., DO Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Corry Memorial Hospital Association CurrentSince Jul 1, 2018 Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince May 1, 2020 Accepting new patients
Corry Memorial Hospital Association CurrentSince Jul 1, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
John E Balmer Jr. DO Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Corry Memorial Hospital Association CurrentSince Nov 20, 2025 Accepting new patients

Locations

612 W Smith St
Corry, PA 16407
Phone (814) 664-4641

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

110 N Main St
Greenville, PA 16125
Phone (724) 588-2100

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

35255 Brown Hill Rd
Union City, PA 16438
Phone (814) 694-2339

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f
  • Direct secure messaging: johnbalmerdo@spartansburg.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canadohta Lake Health CenterUnion City, PA, CCN 393873 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)		 Oct 1, 1993
Oct 1, 1993
John E Balmer Jr. DOSpartansburg, PA, CCN 393851 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1995
Oct 1, 1993

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1104912476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164340211",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MECHANIC ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164340211",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALMER",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007522L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001511070",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "104643",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartansburg, PA

Sources for this page

Verify at the official NPI Registry.