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Physician Profile

Andrew P. Balbaugh, M.D.

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At a glance

About Dr. Balbaugh

Andrew P. Balbaugh, M.D. is a healthcare provider in Georgetown, KY specializing in internal medicine. Andrew trained at Northeastern Ohio University College of Medicine, graduating in 2003. Andrew is also listed as specializing in pediatrics. Medicare claims data shows Andrew provided 128 services to 82 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1265640411.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Internal Medicine (Primary)
Pediatrics (Additional)

Credentials & Licensing

KY licenceAs reported to the NPI registry
No. 41057As reported
NPINational Provider Identifier
1265640411Issued 2007

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Andrew P. Balbaugh's specialty?

Andrew P. Balbaugh is an internist in Georgetown, KY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.

NPI registry

Where can I find Andrew P. Balbaugh?

Andrew P. Balbaugh is listed at 196 Bevins Ln Suite F, Georgetown, KY 40324. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Andrew P. Balbaugh?

The number on file is (502) 863-2818. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Andrew P. Balbaugh?

Andrew P. Balbaugh's National Provider Identifier is 1265640411. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Andrew P. Balbaugh's education?

Andrew P. Balbaugh attended Northeastern Ohio University College of Medicine, graduating in 2003. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Andrew P. Balbaugh have?

Andrew P. Balbaugh has 23 years experience. Calculated from a graduation year of 2003, reported in the CMS National Downloadable File.

CMS public data

What is Andrew P. Balbaugh known for?

According to Medicare billing data, Andrew P. Balbaugh the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Andrew P. Balbaugh's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Andrew P. Balbaugh. If this is you, claiming it is free.

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