Luke Balmer
NPI 1366067373 · Adult Health Nurse Practitioner · Richmond, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luke Balmer is a Adult Health Nurse Practitioner provider in Richmond, VA (NPI 1366067373).
Provider details
- NPI number
- 1366067373
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AG06200129 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 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
803 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 336 | $89 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 232 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 143 | $79 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 78 | $13 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 334 | 106 |
| Metoprolol Succinate | 246 | 95 |
| Atorvastatin Calcium | 209 | 78 |
| Rosuvastatin Calcium | 156 | 49 |
| Carvedilol | 147 | 55 |
| Furosemide | 141 | 51 |
| Spironolactone | 140 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$832 across 9 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
- 2020-06-15
- Last updated
- 2022-12-30
- Certified
- 2022-12-30
Frequently asked questions
- What is Luke Balmer's NPI number?
- Luke Balmer's National Provider Identifier (NPI) is 1366067373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luke Balmer's specialty?
- Luke Balmer is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Luke Balmer located?
- Luke Balmer's practice location on file with NPPES is 9000 Stony Point Pkwy, Richmond, VA 23235-1900.
- What is Luke Balmer's phone number?
- The practice phone number listed in the NPPES registry for Luke Balmer is (804) 828-2161.
- Does Luke Balmer accept Medicare?
- Luke Balmer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luke Balmer's NPI active?
- Yes — Luke Balmer's NPI (1366067373) is active in the NPPES registry as of the last update on 2022-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.