Thomas Balda, OD
NPI 1396820858 · Optometrist · Lake Zurich, IL
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Balda, OD is a Optometrist provider in Lake Zurich, IL (NPI 1396820858).
Provider details
- NPI number
- 1396820858
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 046008673 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,992 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) |
|---|---|---|
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 1,691 | $1 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 104 | $94 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 69 | $132 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 58 | $58 |
| Imaging of Retina92134 | 52 | $41 |
| Imaging of Optic Nerve92133 | 18 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 72 | 20 |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 18 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$232 across 10 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
Additional practice locations (1)
- 138 S Main StGravois Mills, MO 65037-6196Phone: (573) 374-5222
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Thomas Balda's NPI number?
- Thomas Balda's National Provider Identifier (NPI) is 1396820858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Balda's specialty?
- Thomas Balda is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Thomas Balda located?
- Thomas Balda's practice location on file with NPPES is 950 W Main St, Lake Zurich, IL 60047.
- What is Thomas Balda's phone number?
- The practice phone number listed in the NPPES registry for Thomas Balda is (847) 726-2020.
- Does Thomas Balda accept Medicare?
- Thomas Balda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Balda's NPI active?
- Yes — Thomas Balda's NPI (1396820858) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.