Leigh Balatgek, MMS, PA-C
NPI 1891456117 · Medical Physician Assistant · Round Rock, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leigh Balatgek, MMS, PA-C is a Medical Physician Assistant provider in Round Rock, TX (NPI 1891456117).
Provider details
- NPI number
- 1891456117
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MMS, PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA15254 (TX)
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
4 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
813 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) |
|---|---|---|
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 286 | $153 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 198 | $105 |
| 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 | 153 | $14 |
| Assessment of and Care Planning for Patient With Impaired Thought Processing, Typically 60 Minutes99483 | 41 | $226 |
| Physician Or Allowed Practitioner Supervision of a Patient Receiving Medicare-Covered Services Provided By a Participating Home Health Agency (patient Not Present) Requiring Complex and Multidisciplinary Care Modalities Involving Regular Physician Or AllowG0181 | 41 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 54 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 106 | 25 |
| Atorvastatin Calcium | 86 | 21 |
| Amlodipine Besylate | 82 | 24 |
| Lisinopril | 80 | 16 |
| Omeprazole | 64 | 11 |
| Tramadol Hcl | 61 | 13 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$27 across 1 record (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
- 2022-01-08
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Frequently asked questions
- What is Leigh Balatgek's NPI number?
- Leigh Balatgek's National Provider Identifier (NPI) is 1891456117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leigh Balatgek's specialty?
- Leigh Balatgek is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Leigh Balatgek located?
- Leigh Balatgek's practice location on file with NPPES is 1000 Heritage Center Cir Ste 122, Round Rock, TX 78664-4463.
- What is Leigh Balatgek's phone number?
- The practice phone number listed in the NPPES registry for Leigh Balatgek is (512) 906-0168.
- Does Leigh Balatgek accept Medicare?
- Leigh Balatgek is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leigh Balatgek's NPI active?
- Yes — Leigh Balatgek's NPI (1891456117) is active in the NPPES registry as of the last update on 2023-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.