Colleen Balkam, M.D.
NPI 1437685492 · Orthopaedic Surgery Physician · Leonardtown, MD
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colleen Balkam, M.D. is a Orthopaedic Surgery Physician provider in Leonardtown, MD (NPI 1437685492).
Provider details
- NPI number
- 1437685492
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 0101275178 (VA)
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 tenure25% of score
9 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
1,053 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) |
|---|---|---|
| X-Ray of Knee, 4 Or More Views73564 | 178 | $44 |
| X-Ray of Hip, 2-3 Views73502 | 154 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 153 | $89 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 134 | $56 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 112 | $69 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 187 | 85 |
| Tramadol Hcl | 27 | 25 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 26 | 24 |
| Promethazine Hcl | 22 | 21 |
| Scopolamine | 21 | 20 |
| Lansoprazole | 15 | 15 |
| Cefadroxil | 14 | 14 |
| Meloxicam |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$58 across 2 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
- 2017-05-11
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Frequently asked questions
- What is Colleen Balkam's NPI number?
- Colleen Balkam's National Provider Identifier (NPI) is 1437685492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Balkam's specialty?
- Colleen Balkam is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Colleen Balkam located?
- Colleen Balkam's practice location on file with NPPES is 23000 Moakley St Ste 102, Leonardtown, MD 20650-2916.
- What is Colleen Balkam's phone number?
- The practice phone number listed in the NPPES registry for Colleen Balkam is (301) 475-5555.
- Does Colleen Balkam accept Medicare?
- Colleen Balkam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colleen Balkam's NPI active?
- Yes — Colleen Balkam's NPI (1437685492) is active in the NPPES registry as of the last update on 2023-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.