Timothy Michael Balise, PA-C
Individual provider Active NPI Surgical Physician Assistant · Steamboat Springs, CO
NPI 1972935385 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1972935385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA.0008649 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 11
Medicare Care Compare profile
- 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 PC
The Memorial Hospital
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
- Memorial Hospital, the
- Uchealth Yampa Valley Medical Center
- Middle Park Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131003000412 | VT | Practitioner - Physician Assistant | 5496989527 | Reassigns benefits to 1 organization |
| I20240808004610 | CO | Practitioner - Physician Assistant | 5496989527 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055.0031177 | VT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Center Inc | Current |
Accepting new patients | |
| Northwestern Medical Center, Inc | Current |
Accepting new patients | |
| The Memorial Hospital | Current |
Accepting new patients | |
| The Memorial Hospital | Current |
Accepting new patients | |
| Northwestern Medical Center, Inc. | Current |
Accepting new patients | |
| The Memorial Hospital | Past | Accepting new patients |
Locations
750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 055.0031177 | VT | |
| Surgical Physician Assistant | 363AS0400X | PA.0008649 | CO | Yes |
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
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-1292
Other practice location 2
277 Blair Park Rd Ste 110
Williston, VT 05495-7885
Phone (802) 404-2004
Other providers in Steamboat Springs, CO
- William G Austin
- Kate Marie Averett
- Gary Alan Baggenstoss
- Whitney Shea Bakarich
- William B Baker
- Chloe Banning
- Erika Paige Barger
- Blaine Barnes
- Wendy Walton Baumann
- Melissa D Baumgartner
All providers in Steamboat Springs, CO · Surgical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. 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.