Susan Balmer, MD
NPI 1164640058 · Internal Medicine Physician · Marquette, MI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Balmer, MD is a Internal Medicine Physician provider in Marquette, MI (NPI 1164640058).
Provider details
- NPI number
- 1164640058
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301088305 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,864 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 604 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 455 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 428 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 237 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 229 | $122 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 150 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 659 | 181 |
| Losartan Potassium | 483 | 138 |
| Amlodipine Besylate | 437 | 120 |
| Levothyroxine Sodium | 421 | 108 |
| Metoprolol Succinate | 373 | 100 |
| Hydrochlorothiazide | 336 | 87 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$261 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2022-01-05
- Certified
- 2022-01-05
Frequently asked questions
- What is Susan Balmer's NPI number?
- Susan Balmer's National Provider Identifier (NPI) is 1164640058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Balmer's specialty?
- Susan Balmer is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Balmer located?
- Susan Balmer's practice location on file with NPPES is 1414 W Fair Ave, Marquette, MI 49855-2675.
- What is Susan Balmer's phone number?
- The practice phone number listed in the NPPES registry for Susan Balmer is (906) 225-4500.
- Does Susan Balmer accept Medicare?
- Susan Balmer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Balmer's NPI active?
- Yes — Susan Balmer's NPI (1164640058) is active in the NPPES registry as of the last update on 2022-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.