Doctor profile · Federal record
Dr. John Balmer, D.O.
Family Medicine Physician (CMS: Family Practice) · Spartansburg, PA
- NPI 1104912476
- Accepts Medicare
- 36 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
132 Mechanic St
Spartansburg, PA 164340211
(814) 654-7334
fax (814) 654-7553 - Mailing address
-
Po Box 211
Spartansburg, PA 164340211
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- August 13, 2012
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #OS007522L
- Medicaid
- PA #001511070
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104912476. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
302
Distinct HCPCS
5
Medicare allowed
$22,231
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 148 | 54 | $76 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 62 | 49 | $125 | |
81002 |
Urinalysis, manual test | 40 | 28 | $3 | |
99238 |
Hospital discharge day management, 30 minutes or less | 38 | 34 | $78 | |
93005 |
Routine electrocardiogram (ecg) using at least 12 leads with tracing | 14 | 14 | $6 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 60. This provider delivers 5.0× the peer median.Open Payments
Industry payments received
All-time total
$2,441
Transactions
97
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 15 | $596.82 | |
| AstraZeneca Pharmaceuticals LP | 13 | $348.18 | |
| PFIZER INC. | 20 | $307.31 | |
| GlaxoSmithKline, LLC. | 8 | $209.82 | |
| Indivior Inc. | 8 | $145.91 | |
| ABBVIE INC. | 9 | $133.18 | |
| Madrigal Pharmaceuticals | 2 | $107.93 | |
| Exact Sciences Corporation | 4 | $107.32 | |
| Otsuka America Pharmaceutical, Inc. | 4 | $92.90 | |
| Bayer Healthcare Pharmaceuticals Inc. | 2 | $89.69 | |
| E.R. Squibb & Sons, L.L.C. | 3 | $45.13 | |
| Lilly USA, LLC | 3 | $43.39 | |
| Amgen Inc. | 2 | $39.53 | |
| Merck Sharp & Dohme LLC | 2 | $37.35 | |
| Xeris Pharmaceuticals, Inc. | 2 | $36.67 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,244
Patients
706
Total drug cost
$103,588
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 402 | 45 | $22,337 |
| Pantoprazole Sodium | Generic | 324 | 92 | $4,283 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 280 | 53 | $11,640 |
| Morphine Sulfate Er (Morphine Sulfate) | Brand | 261 | 26 | $18,933 |
| Gabapentin | Generic | 241 | 51 | $6,162 |
| Simvastatin | Generic | 236 | 62 | $2,301 |
| Lisinopril | Generic | 227 | 83 | $1,794 |
| Levothyroxine Sodium | Generic | 198 | 50 | $2,674 |
| Alprazolam | Generic | 195 | 19 | $1,846 |
| Atorvastatin Calcium | Generic | 190 | 66 | $3,104 |
Hospital affiliations
Frequently asked questions
What is Dr. John Balmer's medical specialty?
Dr. John Balmer practices Family Medicine Physician in Spartansburg, PA.
Where does Dr. John Balmer practice?
Dr. John Balmer practices at 132 Mechanic St, Spartansburg, PA 164340211. Office phone: 8146547334.
What is Dr. John Balmer's NPI?
Dr. John Balmer's National Provider Identifier (NPI) is 1104912476, issued by NPPES.
Does Dr. John Balmer accept Medicare assignment?
Yes. Dr. John Balmer accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. John Balmer commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Urinalysis, manual test (HCPCS 81002). Source: CMS Medicare Physician & Other Practitioners file.