Dale Balkovec, DO
NPI 1952495970 · Family Medicine Physician · Maple Heights, OH
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dale Balkovec, DO is a Family Medicine Physician provider in Maple Heights, OH (NPI 1952495970).
Provider details
- NPI number
- 1952495970
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34003692 (OH)
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
19 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
1,472 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) |
|---|---|---|
| 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 | 655 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 458 | $78 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 348 | $61 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians andG0180 | 11 | $50 |
Typical Medicare-allowed amounts for these services range $16–$78 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 173 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 657 | 174 |
| Atorvastatin Calcium | 473 | 135 |
| Levothyroxine Sodium | 419 | 98 |
| Rosuvastatin Calcium | 373 | 110 |
| Lisinopril | 365 | 95 |
| Pantoprazole Sodium | 348 | 102 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2011-01-18
Frequently asked questions
- What is Dale Balkovec's NPI number?
- Dale Balkovec's National Provider Identifier (NPI) is 1952495970, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Balkovec's specialty?
- Dale Balkovec is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dale Balkovec located?
- Dale Balkovec's practice location on file with NPPES is 15003 Turney Rd, Maple Heights, OH 44137-4730.
- What is Dale Balkovec's phone number?
- The practice phone number listed in the NPPES registry for Dale Balkovec is (216) 663-7753.
- Does Dale Balkovec accept Medicare?
- Dale Balkovec is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dale Balkovec's NPI active?
- Yes — Dale Balkovec's NPI (1952495970) is active in the NPPES registry as of the last update on 2011-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.