Phillip Eugene Balfanz, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Kerrville, TX
NPI 1194924399 · NPPES record last updated Sep 23, 2023
Key facts
- NPI
- 1194924399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- N1257 (TX)
- Practice address
- 123 Commerce St Ste a
Kerrville, TX 78028-4951 - Phone
- (830) 538-0127
- Fax
- (830) 521-4061
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Texas Medical Branch at Galveston, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Tech University Health Sciences Center Lubbock
Practice addresses (Care Compare)
4015 22ND PL
Lubbock, TX 79410-1119
Phone (806) 743-1501
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20120822000541 | TX | Practitioner - Psychiatry | 5395992564 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1257 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip Balfanz, MD PLLC | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Lubbock Regional MHMR Center | Psychiatry | Current |
Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Psychiatry | Current |
Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients |
Locations
123 Commerce St
Ste A
Kerrville, TX 78028
Phone (830) 285-0001
3601 4th St
#1A122
Lubbock, TX 79430
Phone (806) 743-2391
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
4000 24th St
#410
Lubbock, TX 79410
Phone (806) 743-7700
1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | N1257 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | N1257 | TX | Yes |
Addresses
Primary practice location
123 Commerce St Ste a
Kerrville, TX 78028-4951
Mailing address
123 Commerce St Ste a
Kerrville, TX 78028-4951
Phone (830) 538-0127
Other providers in Kerrville, TX
- Rhonda M Bacilieri
- Miriam Backhoff
- Johni Jean Badder
- Jodie Lyn Baker
- Jacqueline Nicole Balderas
- Angielian Gomez Balingit
- Nicole Ballenger
- E Harold Bammel
- Michael John Barker
- Valerie Ann Barker
All providers in Kerrville, TX · Child & Adolescent Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2023. 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.