Michael R Balm, MD
Individual provider Active NPI Neurology Physician · Springfield, OR
NPI 1164593646 · NPPES record last updated Apr 26, 2021
Key facts
- NPI
- 1164593646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- MD23795 (OR)
- Practice address
- 1 Hayden Bridge Way Ste 410
Springfield, OR 97477-1347 - Phone
- (541) 868-9430
- Fax
- (541) 868-9450
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Mayo Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neurology Associates Eugene-Springfield PC
Practice addresses (Care Compare)
1 Hayden Bridge Way
Springfield, OR 97477-1347
Phone (541) 868-9430
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100714000250 | OR | Practitioner - Neurology | 1658372818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23795 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Neurology, PSC | Past | Accepting new patients |
Interoperability endpoints
- mbalm062@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD23795 | OR | Yes |
Addresses
Primary practice location
1 Hayden Bridge Way Ste 410
Springfield, OR 97477-1347
Mailing address
1 Hayden Bridge Way Ste 410
Springfield, OR 97477-1347
Phone (541) 868-9430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130025278 | Other | OR | RAILROAD MEDICARE |
| 286685 | Medicaid | OR |
Other providers in Springfield, OR
- Robert Franklin Baker
- Keith Douglas Balderston
- Samuel Jackson Balin
- Lisa Balint-Juilfs
- Jim G Ballard
- Alyssa Baltrusch
- Bruce W. Bamforth
- Sudeshna Banerjee
- Virginia Barak
- Anupa Baral
All providers in Springfield, OR · Neurology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.