Louis Balsama, D.O.
NPI 1861462939 · Surgery Physician · Sewell, NJ
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Louis Balsama, D.O. is a Surgery Physician provider in Sewell, NJ (NPI 1861462939).
Provider details
- NPI number
- 1861462939
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- MB07912000 (NJ)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
43 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 | 32 | $94 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 11 | $176 |
Typical Medicare-allowed amounts for these services range $94–$176 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$417 across 13 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
Additional practice locations (1)
- 141 Route 70 E Ste CMarlton, NJ 08053-1855Phone: (856) 341-8105Fax: (856) 341-8106
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is Louis Balsama's NPI number?
- Louis Balsama's National Provider Identifier (NPI) is 1861462939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Louis Balsama's specialty?
- Louis Balsama is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Louis Balsama located?
- Louis Balsama's practice location on file with NPPES is 239 Hurffville Crosskeys Rd Ste 355, Sewell, NJ 08080-4007.
- What is Louis Balsama's phone number?
- The practice phone number listed in the NPPES registry for Louis Balsama is (856) 589-0600.
- Does Louis Balsama accept Medicare?
- Louis Balsama is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Louis Balsama's NPI active?
- Yes — Louis Balsama's NPI (1861462939) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.