NPIMap

Individual provider Active NPI

Timothy Michael Balise, PA-C

  • Surgical Physician Assistant
  • Steamboat Springs, CO
National Provider Identifier
1972935385
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0008649 Issued in CO
Practice address
705 Marketplace PLZ Ste 200
Steamboat Springs, CO 80487-1841
Phone
(970) 879-6663
Fax
(970) 871-1234
NPI assigned
Aug 7, 2013
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 055.0031177 VT
Surgical Physician Assistant 363AS0400X PA.0008649 CO Primary

Addresses

Primary practice location

705 Marketplace PLZ Ste 200
Steamboat Springs, CO 80487-1841

Mailing address

705 Marketplace PLZ Ste 200
Steamboat Springs, CO 80487-1841
Phone (970) 879-6663

Other practice location 1

277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Phone (802) 404-2004

Other practice location 2

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Other practice location 3

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-1292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131003000412 VT Practitioner - Physician Assistant 5496989527 Reassigns benefits to 1 organization
I20240808004610 CO Practitioner - Physician Assistant 5496989527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopaedics of Steamboat Springs PCGroup PAC ID 9335119023, 25 clinicians
The Memorial HospitalGroup PAC ID 1254231533, 47 clinicians

Practice addresses (Care Compare)

705 Marketplace PLZ
Suite 200
Steamboat Springs, CO 80487-1841
Phone (970) 439-0800

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008649COMDSurgical Physician Assistant
055.0031177VTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center Inc CurrentSince Sep 9, 2013 Accepting new patients
The Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Apr 6, 2020 Accepting new patients
The Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
The Memorial Hospital Past Accepting new patients
The Memorial Hospital Past Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Organizations & group practices 7

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 11

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": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1972935385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MARKETPLACE PLZ STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804871841",
            "telephone_number": "970-879-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MARKETPLACE PLZ STE 200",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804871841",
            "telephone_number": "970-879-6663",
            "fax_number": "970-871-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Blair Park Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957885",
            "country_code": "US",
            "telephone_number": "802-404-2004",
            "fax_number": "888-506-2885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816258750",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Fairfield St",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054781726",
            "country_code": "US",
            "telephone_number": "802-524-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALISE",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VT",
            "license": "055.0031177",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0008649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.