Todd Balog, MD
NPI 1851528293 · Adult Reconstructive Orthopaedic Surgery Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Balog, MD is a Adult Reconstructive Orthopaedic Surgery Physician provider in Pittsburgh, PA (NPI 1851528293).
Provider details
- NPI number
- 1851528293
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD483804 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
134 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 31 | $106 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 22 | $47 |
| X-Ray of Knee, 4 Or More Views73564 | 19 | $44 |
| X-Ray of Hip, 2-3 Views73502 | 18 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $86 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,537 across 12 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
- 2009-06-11
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is Todd Balog's NPI number?
- Todd Balog's National Provider Identifier (NPI) is 1851528293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Balog's specialty?
- Todd Balog is listed in the NPPES registry with a primary specialty of Adult Reconstructive Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Balog located?
- Todd Balog's practice location on file with NPPES is 1000 Bower Hill Rd, Pittsburgh, PA 15243-1873.
- What is Todd Balog's phone number?
- The practice phone number listed in the NPPES registry for Todd Balog is (412) 942-7262.
- Does Todd Balog accept Medicare?
- Todd Balog is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Balog's NPI active?
- Yes — Todd Balog's NPI (1851528293) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.