Active NPI 1700817434 Individual Practitioner Female Practitioner

Dr. Lisa M Balduf , MD

Surgery • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Balduf, MD is a certified Surgery practicing in Boulder, CO. With approximately 20 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 2006, Dr. Balduf delivers high-quality medical care to the local community at 4743 ARAPAHOE AVE STE 100.

Dr. Balduf is affiliated with Boulder Community Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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's, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4743 Arapahoe Ave Ste 100

Boulder, CO 803031123

Telephone 3034432123

Fax 3034439497

Associated Practice Facility / Clinic

🏢 Boulder Community Health Facility NPI 1073160420

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -9.1 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Boulder, CO (635 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balduf (20 Years) 20 Yrs

Boulder Specialty Average (29.1 Years) 29.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 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's	170	142	$58.57	$15.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$586.58	$159.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$723.86	$204.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$392.15	$103.69
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$266.81	$83.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$380.56	$114.59
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$157.81	$35.08

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	48	48	$485.92	$162.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$327.57	$107.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$629.44	$206.71
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$199.50	$87.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$294.73	$123.76
49650 Repair of groin hernia using an endoscope	14	14	$1747.20	$546.23

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	50	50	$485.92	$163.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$327.57	$108.21
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$199.50	$88.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$629.44	$199.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$106.97	$83.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	18	$110.58	$70.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$165.71	$132.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$220.00	$134.35
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$62.78	$61.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$104.25	$91.61
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$139.17	$100.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$67.00	$37.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$111.50	$76.89
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$133.00	$103.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	17	$67.00	$39.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$109.00	$73.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$110.27	$77.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	22	$67.00	$39.66
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$63.35	$51.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$92.00	$76.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	19	$109.00	$73.09
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$133.00	$102.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$220.00	$137.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$94.00	$79.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$155.00	$130.06
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$66.85	$49.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1331.00	$759.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$94.85	$76.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$94.00	$77.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$171.84	$128.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$109.00	$72.26
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$67.13	$50.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$220.00	$135.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$67.00	$39.09
47562 Removal of gallbladder using an endoscope	13	13	$1296.00	$565.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$40.36	$23.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$92.00	$76.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$94.00	$77.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$83.70	$38.81
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$61.00	$50.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$220.00	$135.21
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$133.00	$100.60

Medical Specialties & State Licenses

CMS Verified: 2025-07-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0074648

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License NM MD2006-0263

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

18453597 (NM)

Medicaid State Provider ID

9000245035 (CO)

Hospital & Practice Group Affiliations

Boulder Community Health

4743 Arapahoe Ave, Boulder, CO 803031123

Phone: 3034432123

Secondary Practice Locations

4901 Lang Ave Ne

Albuquerque, NM 871094397

Phone: 5058428171

101 Erie Pkwy Ste 201g

Erie, CO 805164072

Phone: 3034432123

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Laura Harmon , MD

Surgery - Trauma Surgery

NPI 1053607549

Doctor of Medicine (M.D.)

Dr. Charles Jones , MD

Surgery

NPI 1104909381

Doctor of Medicine (M.D.)

Nicola Hempel , ACNP-BC

Nurse Practitioner

NPI 1114286440

ACNPBC

James Dougherty , PA

Physician Assistant

NPI 1275597643

Physician Assistant

Sarah Gardner , RPA-C

Physician Assistant - Surgical

NPI 1285879452

RPAC

Emily Mosman , NP

Nurse Practitioner - Family

NPI 1316451677

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location July 24, 2025

Registered at 4743 ARAPAHOE AVE STE 100, BOULDER, CO 803031123 (Tel: 3034432123)

📍

Updated Business Mailing Address July 24, 2025

Registered at PO BOX 9049, BOULDER, CO 803019049 (Tel: 3034154101)

📍

Updated Practice Location January 05, 2022

Registered at 4901 LANG AVE NE, ALBUQUERQUE, NM 871094397 (Tel: 5058428171)

📍

Updated Business Mailing Address January 05, 2022

Registered at 4901 LANG AVE NE, ALBUQUERQUE, NM 871094397 (Tel: 5058428171)

✅

NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2008

Registered at PMG GENERAL SURGERY CEDAR, 201 CEDAR SE SUITE 306, ALBUQUERQUE, NM 87106 (Tel: 5055631000)

📍

Updated Business Mailing Address August 14, 2008

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059235356)

👤

Provider Name / Credentials Updated August 14, 2008

Recorded as LISA BALDUF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Surgery (License #MD2006-0263 in NM)

🟢

Initial NPI Registration & Enumeration July 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700817434

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: July 24, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9049

Boulder, CO 803019049

Phone: 3034154101

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.