Carol Balfe, O.D.
NPI 1427100486 · Optometrist · Canajoharie, NY
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carol Balfe, O.D. is a Optometrist provider in Canajoharie, NY (NPI 1427100486).
Provider details
- NPI number
- 1427100486
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- T-005534-1 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
92 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 67 | $162 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $159 |
Typical Medicare-allowed amounts for these services range $159–$162 (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
- 2007-01-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Carol Balfe's NPI number?
- Carol Balfe's National Provider Identifier (NPI) is 1427100486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carol Balfe's specialty?
- Carol Balfe is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Carol Balfe located?
- Carol Balfe's practice location on file with NPPES is 70 Erie Blvd, Canajoharie, NY 13317-1133.
- What is Carol Balfe's phone number?
- The practice phone number listed in the NPPES registry for Carol Balfe is (518) 673-2241.
- Does Carol Balfe accept Medicare?
- Carol Balfe is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carol Balfe's NPI active?
- Yes — Carol Balfe's NPI (1427100486) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.