Kristin Balthazor, PA-C, MPAS
NPI 1649422619 · Physician Assistant · Sheboygan, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Balthazor, PA-C, MPAS is a Physician Assistant provider in Sheboygan, WI (NPI 1649422619).
Provider details
- NPI number
- 1649422619
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, MPAS
- Sex
- Female
- Sole proprietor
- No
- License
- 085.003246 (IL)
Specialties & taxonomies
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
17 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
457 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 205 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 147 | $99 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 105 | $59 |
Typical Medicare-allowed amounts for these services range $59–$99 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 894 | 171 |
| Gabapentin | 257 | 80 |
| Tizanidine Hcl | 205 | 62 |
| Pregabalin | 184 | 41 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 158 | 28 |
| Tramadol Hcl | 141 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$556 across 26 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
- 2008-10-21
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is Kristin Balthazor's NPI number?
- Kristin Balthazor's National Provider Identifier (NPI) is 1649422619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Balthazor's specialty?
- Kristin Balthazor is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kristin Balthazor located?
- Kristin Balthazor's practice location on file with NPPES is 2124 Kohler Memorial Dr, Sheboygan, WI 53081-3169.
- What is Kristin Balthazor's phone number?
- The practice phone number listed in the NPPES registry for Kristin Balthazor is (833) 821-7246.
- Does Kristin Balthazor accept Medicare?
- Kristin Balthazor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Balthazor's NPI active?
- Yes — Kristin Balthazor's NPI (1649422619) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.