Stephen Balleh
NPI 1174933766 · Emergency Medicine Physician · Fredericksburg, VA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Balleh is a Emergency Medicine Physician provider in Fredericksburg, VA (NPI 1174933766).
Provider details
- NPI number
- 1174933766
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2016-00255 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 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
634 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 286 | $166 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 161 | $114 |
| Critical Care, First 30-74 Minutes99291 | 106 | $202 |
| Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician Only93042 | 81 | $6 |
Typical Medicare-allowed amounts for these services range $6–$202 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetronbrand: Ondansetron Odt | 116 | 116 |
| Cyclobenzaprine Hcl | 36 | 35 |
| Prednisone | 36 | 36 |
| Tramadol Hcl | 31 | 31 |
| Cefdinir | 26 | 26 |
| Azithromycin | 25 | 25 |
| Ibuprofen | 22 | 21 |
| Oxycodone Hcl/Acetaminophen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 1 record (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
- 2014-05-05
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Frequently asked questions
- What is Stephen Balleh's NPI number?
- Stephen Balleh's National Provider Identifier (NPI) is 1174933766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Balleh's specialty?
- Stephen Balleh is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Balleh located?
- Stephen Balleh's practice location on file with NPPES is 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453.
- What is Stephen Balleh's phone number?
- The practice phone number listed in the NPPES registry for Stephen Balleh is (804) 306-1923.
- Does Stephen Balleh accept Medicare?
- Stephen Balleh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Balleh's NPI active?
- Yes — Stephen Balleh's NPI (1174933766) is active in the NPPES registry as of the last update on 2025-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.