Laurence Balter, MD
NPI 1326037201 · Infectious Disease Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurence Balter, MD is a Infectious Disease Physician provider in Atlanta, GA (NPI 1326037201).
Provider details
- NPI number
- 1326037201
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD034197 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
140 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 40 | $117 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 38 | $128 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 24 | $76 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $97 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 15 | $174 |
Typical Medicare-allowed amounts for these services range $76–$174 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 69 | 26 |
| Dolutegravir Sodiumbrand: Tivicay | 66 | — |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 49 | — |
| Emtricitabine/Tenofov Alafenambrand: Descovy | 45 | — |
| Elviteg/Cob/Emtri/Tenof Alafenbrand: Genvoya | 27 | — |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 26 | — |
Practice location
Mailing address
Additional practice locations (1)
- 6400 Goldsboro RdSuite 330Bethesda, MD 20817Phone: (301) 320-3361
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2018-03-17
Frequently asked questions
- What is Laurence Balter's NPI number?
- Laurence Balter's National Provider Identifier (NPI) is 1326037201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurence Balter's specialty?
- Laurence Balter is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Laurence Balter located?
- Laurence Balter's practice location on file with NPPES is 550 Peachtree St Ne, Atlanta, GA 30308-2247.
- What is Laurence Balter's phone number?
- The practice phone number listed in the NPPES registry for Laurence Balter is (404) 686-4411.
- Does Laurence Balter accept Medicare?
- Laurence Balter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laurence Balter's NPI active?
- Yes — Laurence Balter's NPI (1326037201) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.