Doctor profile · Federal record
Dr. Stephen Balka, NP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Hampton, VA
- NPI 1972153450
- Accepts Medicare
- MIPS 94.1 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
191 Fox Hill RD Ste D
Hampton, VA 236692360
(757) 850-1311
fax (757) 850-7315 - Mailing address
-
856 J Clyde Morris Blvd Ste A
Newport News, VA 236011318
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Profile last updated
- October 29, 2019
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Virginia #0024178215
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972153450. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,328
Distinct HCPCS
10
Medicare allowed
$53,621
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 252 | 142 | $105 | |
36415 |
Insertion of needle into vein for collection of blood sample | 126 | 87 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 115 | 93 | $75 | |
80053 |
Blood test, comprehensive group of blood chemicals | 97 | 75 | $10 | |
80061 |
Blood test, lipids (cholesterol and triglycerides) | 81 | 67 | $13 | |
83036 |
Hemoglobin a1c level | 75 | 56 | $9 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 64 | 57 | $8 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 58 | 49 | $16 | |
82306 |
Vitamin d-3 level | 56 | 49 | $28 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 56 | 56 | $108 |
In context: peer comparison
Among 17 peers in this city , average services per provider: 77. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$87
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 4 | $87.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,446
Patients
530
Total drug cost
$22,788
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 158 | 48 | $2,029 |
| Amlodipine Besylate | Generic | 132 | 37 | $1,186 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 130 | 36 | $5,228 |
| Prednisone | Generic | 123 | 95 | $358 |
| Omeprazole | Generic | 122 | 30 | $1,762 |
| Gabapentin | Generic | 108 | 34 | $2,484 |
| Fluconazole | Generic | 84 | 61 | $572 |
| Fluticasone Propionate | Generic | 82 | 37 | $1,867 |
| Levocetirizine Dihydrochloride | Generic | 80 | 26 | $3,447 |
| Lisinopril | Generic | 77 | 21 | $466 |
Frequently asked questions
What is Dr. Stephen Balka's medical specialty?
Dr. Stephen Balka practices Family Nurse Practitioner in Hampton, VA.
Where does Dr. Stephen Balka practice?
Dr. Stephen Balka practices at 191 Fox Hill RD Ste D, Hampton, VA 236692360. Office phone: 7578501311.
What is Dr. Stephen Balka's NPI?
Dr. Stephen Balka's National Provider Identifier (NPI) is 1972153450, issued by NPPES.
Does Dr. Stephen Balka accept Medicare assignment?
Yes. Dr. Stephen Balka accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephen Balka commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.