Jeffrey Balke, MD
NPI 1285694109 · Hospitalist Physician · Portland, ME
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Balke, MD is a Hospitalist Physician provider in Portland, ME (NPI 1285694109).
Provider details
- NPI number
- 1285694109
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 33730 (MN)
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 tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
96 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 44 | $161 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 27 | $110 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 25 | $120 |
Typical Medicare-allowed amounts for these services range $110–$161 (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
Additional practice locations (1)
- 1601 Saint Francis AveSuite 100Shakopee, MN 55379-3383Phone: (952) 428-3535Fax: (952) 428-3599
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Jeffrey Balke's NPI number?
- Jeffrey Balke's National Provider Identifier (NPI) is 1285694109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Balke's specialty?
- Jeffrey Balke is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey Balke located?
- Jeffrey Balke's practice location on file with NPPES is 22 Bramhall St, Portland, ME 04102-3134.
- What is Jeffrey Balke's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Balke is (207) 662-4618.
- Does Jeffrey Balke accept Medicare?
- Jeffrey Balke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Balke's NPI active?
- Yes — Jeffrey Balke's NPI (1285694109) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.