Erica Balfour, PA-C, MS
NPI 1467694067 · Medical Physician Assistant · Boston, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erica Balfour, PA-C, MS is a Medical Physician Assistant provider in Boston, MA (NPI 1467694067).
Provider details
- NPI number
- 1467694067
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA3752 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 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
390 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 160 | $57 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 125 | $83 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 65 | $70 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 23 | $44 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 17 | $111 |
Typical Medicare-allowed amounts for these services range $44–$111 (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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pregabalin | 114 | 20 |
| Tramadol Hcl | 81 | 20 |
| Gabapentin | 45 | 15 |
| Lidocaine | 38 | 16 |
| Cyclobenzaprine Hcl | 15 | — |
| Tapentadol Hclbrand: Nucynta | 13 | — |
| Celecoxib | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
Practice location
Mailing address
Additional practice locations (1)
- 41 Mall RdBurlington, MA 01805-2907Phone: (781) 744-8000
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Erica Balfour's NPI number?
- Erica Balfour's National Provider Identifier (NPI) is 1467694067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erica Balfour's specialty?
- Erica Balfour is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Erica Balfour located?
- Erica Balfour's practice location on file with NPPES is 736 Cambridge St, Boston, MA 02135-2907.
- What is Erica Balfour's phone number?
- The practice phone number listed in the NPPES registry for Erica Balfour is (413) 794-0000.
- Does Erica Balfour accept Medicare?
- Erica Balfour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erica Balfour's NPI active?
- Yes — Erica Balfour's NPI (1467694067) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.