Tosha Balfour, MD
NPI 1184608838 · Specialist · Decatur, GA
Enrolled with Medicare as Practitioner - Radiation Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tosha Balfour, MD is a Specialist provider in Decatur, GA (NPI 1184608838).
Provider details
- NPI number
- 1184608838
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 048205 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $95 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 11 | $177 |
Typical Medicare-allowed amounts for these services range $95–$177 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2007-11-16
Frequently asked questions
- What is Tosha Balfour's NPI number?
- Tosha Balfour's National Provider Identifier (NPI) is 1184608838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tosha Balfour's specialty?
- Tosha Balfour is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tosha Balfour located?
- Tosha Balfour's practice location on file with NPPES is 2675 N Decatur Rd, Decatur, GA 30033.
- What is Tosha Balfour's phone number?
- The practice phone number listed in the NPPES registry for Tosha Balfour is (404) 501-6925.
- Does Tosha Balfour accept Medicare?
- Tosha Balfour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tosha Balfour's NPI active?
- Yes — Tosha Balfour's NPI (1184608838) is active in the NPPES registry as of the last update on 2007-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.