Active NPI 1013952464 Individual Practitioner Male Practitioner

Dr. James C Balserak , MD

Surgery • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Dr. James Balserak, MD is a registered healthcare professional specializing in Surgery in Tucson, AZ. Practice services are available at 5301 E GRANT RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5301 E Grant Rd

Tucson, AZ 857122805

Telephone 5203245461

Fax 5207958620

Associated Practice Facility / Clinic

🏢 Tucson Medical Center Facility NPI 1174512792

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tucson, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

184 Specialists

Practicing in Tucson, AZ (801 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$461.00	$166.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$302.00	$111.53
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$204.00	$90.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$301.00	$128.83
49650 Repair of groin hernia using an endoscope	27	27	$1321.63	$443.18
76536 Ultrasound of head and neck	26	25	$329.00	$112.06
76536 Ultrasound of head and neck	23	21	$329.00	$28.01
60500 Removal or exploration of parathyroid glands	18	18	$2666.83	$926.81
47562 Removal of gallbladder using an endoscope	12	12	$1885.00	$637.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$204.00	$74.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$461.00	$162.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$302.00	$105.43
76536 Ultrasound of head and neck	51	51	$329.00	$28.68
60500 Removal or exploration of parathyroid glands	42	42	$2746.00	$988.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$301.00	$108.35
76536 Ultrasound of head and neck	29	27	$329.00	$108.89
49650 Repair of groin hernia using an endoscope	22	22	$1227.00	$420.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$123.00	$45.13
60220 Total removal of thyroid lobe on one side of the neck	15	15	$1998.00	$652.01
60252 Removal of thyroid and surrounding lymph nodes with limited neck removal	11	11	$3736.09	$1341.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$461.00	$162.91
99213 Established patient office or other outpatient visit, typically 15 minutes	84	74	$204.00	$73.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	60	$301.00	$106.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$302.00	$107.17
76536 Ultrasound of head and neck	53	44	$329.00	$113.72
76536 Ultrasound of head and neck	48	47	$329.00	$27.85
60500 Removal or exploration of parathyroid glands	47	47	$2746.00	$945.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$580.00	$204.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$406.00	$140.32
49650 Repair of groin hernia using an endoscope	21	21	$1324.33	$462.68
60220 Total removal of thyroid lobe on one side of the neck	16	16	$1998.00	$620.98
47562 Removal of gallbladder using an endoscope	15	15	$1928.73	$641.35
49651 Repair of recurrent groin hernia using an endoscope	14	14	$1590.00	$561.97
60271 Removal of thyroid	12	12	$2997.00	$1063.46
49561 Repair of trapped incisional or abdominal hernia	12	12	$2663.00	$937.27
60502 Removal or re-exploration of parathyroid glands	11	11	$3668.00	$1299.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$454.82	$161.58
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$201.25	$71.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$298.46	$105.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$298.96	$104.15
60500 Removal or exploration of parathyroid glands	46	46	$2725.65	$936.79
76536 Ultrasound of head and neck	32	30	$328.06	$114.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$580.00	$203.07
49650 Repair of groin hernia using an endoscope	25	25	$1271.76	$412.64
49568 Placement of mesh to repair incisional or abdominal hernia	18	17	$760.33	$266.45
49561 Repair of trapped incisional or abdominal hernia	16	15	$2628.50	$894.66
49651 Repair of recurrent groin hernia using an endoscope	15	15	$1634.80	$570.18
76536 Ultrasound of head and neck	15	15	$329.00	$27.95
47562 Removal of gallbladder using an endoscope	14	14	$1937.86	$630.10
60271 Removal of thyroid	12	12	$2967.00	$1043.45
60502 Removal or re-exploration of parathyroid glands	12	12	$3654.33	$1246.32
60220 Total removal of thyroid lobe on one side of the neck	11	11	$1998.00	$664.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$431.00	$160.56
99213 Established patient office or other outpatient visit, typically 15 minutes	71	63	$188.00	$71.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$279.00	$105.88
60500 Removal or exploration of parathyroid glands	50	50	$2642.00	$933.25
76536 Ultrasound of head and neck	41	37	$323.00	$113.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$280.00	$106.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$536.00	$203.24
49650 Repair of groin hernia using an endoscope	25	25	$1158.00	$375.96
49568 Placement of mesh to repair incisional or abdominal hernia	16	14	$730.00	$267.43
60271 Removal of thyroid	14	14	$2907.00	$1055.18
49561 Repair of trapped incisional or abdominal hernia	14	13	$2525.00	$895.19
76536 Ultrasound of head and neck	13	13	$323.00	$28.03
47562 Removal of gallbladder using an endoscope	13	13	$2033.00	$657.00
60502 Removal or re-exploration of parathyroid glands	12	12	$3504.00	$1283.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$375.00	$142.45

Medical Specialties & State Licenses

CMS Verified: 2023-12-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 22666

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. Patrick Smith , MD

Surgery

NPI 1003844291

Doctor of Medicine (M.D.)

Kristy Belone , FNP-C

Nurse Practitioner - Family

NPI 1013381268

Family Nurse Practitioner (Certified)

Dr. Mohammad Khreiss , MD

Surgery - Surgical Oncology

NPI 1023241544

Doctor of Medicine (M.D.)

Dr. Kevin Smith , MD

Hospitalist

NPI 1063619849

Doctor of Medicine (M.D.)

Tiffany Son

Surgery

NPI 1114373388

Dr. Diane Kelly , MD

Pediatrics

NPI 1134789100

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 01, 2023

Registered at 5301 E GRANT RD, TUCSON, AZ 857122805 (Tel: 5203245461)

📍

Updated Business Mailing Address December 01, 2023

Registered at 5301 E GRANT RD, TUCSON, AZ 857122805 (Tel: 5203242308)

✅

NPI Profile Active January 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2016

Registered at 1951 N WILMOT RD, BUILDING 2, TUCSON, AZ 857128000 (Tel: 5207955845)

📍

Updated Business Mailing Address January 05, 2016

Registered at 1951 N WILMOT RD, BUILDING 2, TUCSON, AZ 857128000 (Tel: 5207955845)

👤

Provider Name / Credentials Updated January 05, 2016

Recorded as JAMES BALSERAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Surgery (License #22666 in AZ)

🟢

Initial NPI Registration & Enumeration June 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013952464

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 19, 2006

Last Update: December 01, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5301 E Grant Rd

Tucson, AZ 857122805

Phone: 5203242308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.