Phillip Eugene Balfanz, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

N1257 Issued in 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

Last updated

Sep 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment Care Compare group NPD
• Lubbock Regional MHMR Center

  dba Starcare Specialty Health System

  • Clinic/Center
  • Lubbock, TX
  • NPI 1992708705

  Psychiatry

  Medicare reassignment NPD
• Phillip Balfanz, MD PLLC

  dba Live Oak Psychiatric Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kerrville, TX
  • NPI 1609554534
  NPD Authorized official
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc - DME

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/ Neurology

  • Neurology Physician
  • Lubbock, TX
  • NPI 1518916808
  NPD
• Texas Tech University Health Sciences Center Lubbock

  • Psychiatry Physician
  • Lubbock, TX
  • NPI 1881643179
  NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1194924399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 COMMERCE ST STE A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284951",
            "telephone_number": "830-538-0127",
            "fax_number": "830-521-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 COMMERCE ST STE A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284951",
            "telephone_number": "830-538-0127",
            "fax_number": "830-521-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFANZ",
        "first_name": "PHILLIP",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N1257",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "N1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda M Bacilieri
• Miriam Backhoff
• Johni Jean Badder, R.N
• Jodie Lyn Baker, APN
• Jacqueline Nicole Balderas, OD
• Angielian Gomez Balingit
• Nicole Ballenger, LMSW, ACM-SW
• E Harold Bammel, DDS
• Michael John Barker, M.D.
• Valerie Ann Barker, PHARMACY TECH

• Child & Adolescent Psychiatry Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.