Tucker Balam, DO
NPI 1861652463 · Family Medicine Physician · South Bend, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tucker Balam, DO is a Family Medicine Physician provider in South Bend, IN (NPI 1861652463).
Provider details
- NPI number
- 1861652463
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02003535A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
95 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 30 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 23 | $119 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 16 | $15 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $84 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $120 |
Typical Medicare-allowed amounts for these services range $15–$120 (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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 38 | 13 |
| Amlodipine Besylate | 21 | — |
| Pantoprazole Sodium | 18 | — |
| Lisinopril | 16 | — |
| Levothyroxine Sodium | 15 | — |
| Metoprolol Succinate | 14 | — |
| Ibuprofen | 14 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Frequently asked questions
- What is Tucker Balam's NPI number?
- Tucker Balam's National Provider Identifier (NPI) is 1861652463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tucker Balam's specialty?
- Tucker Balam is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tucker Balam located?
- Tucker Balam's practice location on file with NPPES is 714 N Michigan St, South Bend, IN 46601-1035.
- What is Tucker Balam's phone number?
- The practice phone number listed in the NPPES registry for Tucker Balam is (574) 647-7477.
- Does Tucker Balam accept Medicare?
- Tucker Balam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tucker Balam's NPI active?
- Yes — Tucker Balam's NPI (1861652463) is active in the NPPES registry as of the last update on 2021-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.