Brenda Balthazor, PA
NPI 1851316871 · Medical Physician Assistant · Wausau, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brenda Balthazor, PA is a Medical Physician Assistant provider in Wausau, WI (NPI 1851316871).
Provider details
- NPI number
- 1851316871
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 186923 (WI)
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 tenure25% of score
19 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
443 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 | 145 | $73 |
| Exam of Ear Using a Microscope92504 | 91 | $23 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 72 | $89 |
| Removal of Impacted Ear Wax69210 | 57 | $38 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $103 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 17 |
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 |
|---|---|---|
| Pantoprazole Sodium | 35 | 20 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 29 | 27 |
| Ciprofloxacin Hcl/Dexamethbrand: Ciprofloxacin-Dexamethasone | 28 | 25 |
| Fluticasone Propionate | 28 | 14 |
| Prednisone | 26 | 25 |
| Cefdinir | 20 | 17 |
| Ipratropium Bromide | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$92 across 4 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
- 2006-07-12
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Frequently asked questions
- What is Brenda Balthazor's NPI number?
- Brenda Balthazor's National Provider Identifier (NPI) is 1851316871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brenda Balthazor's specialty?
- Brenda Balthazor is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brenda Balthazor located?
- Brenda Balthazor's practice location on file with NPPES is 512 S 28th Ave, Wausau, WI 54401-4147.
- What is Brenda Balthazor's phone number?
- The practice phone number listed in the NPPES registry for Brenda Balthazor is (715) 847-2021.
- Does Brenda Balthazor accept Medicare?
- Brenda Balthazor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brenda Balthazor's NPI active?
- Yes — Brenda Balthazor's NPI (1851316871) is active in the NPPES registry as of the last update on 2020-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.