Active NPI 1689633273 Individual Practitioner Male Practitioner

Dr. James H Balcom , MD

Surgery - Vascular Surgery • Danvers, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Balcom, MD is a certified Surgery - Vascular Surgery practicing in Danvers, MA. With approximately 30 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1996, Dr. Balcom delivers high-quality medical care to the local community at 104 ENDICOTT ST.

Dr. Balcom is affiliated with Massachusetts General Physicians Organization Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

104 Endicott St
Suite 200

Danvers, MA 019233623

Telephone 9788826868

Fax 9788826828

Associated Practice Facility / Clinic

🏢 Cornell Orthotics & Prosthetics Inc Facility NPI 1275766503

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Danvers, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Danvers, MA (169 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balcom (30 Years) 30 Yrs

Danvers Specialty Average (30.0 Years) 30.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	266	224	$394.03	$91.44
11042 Removal of skin and tissue, 20.0 sq cm or less	188	45	$255.11	$59.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	101	$554.43	$128.69
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	90	11	$104.82	$24.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$776.00	$162.07
99213 Established patient office or other outpatient visit, typically 15 minutes	38	24	$277.58	$65.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$508.28	$112.63
35301 Removal of blood clot and portion of artery of neck	20	19	$6734.00	$1071.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$547.67	$128.63
76937 Ultrasonic guidance for blood vessel access	11	11	$58.00	$13.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	306	62	$249.78	$57.58
99213 Established patient office or other outpatient visit, typically 15 minutes	253	209	$386.54	$91.68
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	235	20	$105.69	$25.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	60	$544.59	$129.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$508.84	$114.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$776.00	$167.04
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$274.79	$66.51
35301 Removal of blood clot and portion of artery of neck	21	21	$6734.00	$1098.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$546.50	$131.05
36821 Relocation of arm vein with connection to arm artery, open procedure	12	11	$2670.17	$637.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	394	70	$244.29	$60.88
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	258	25	$108.82	$26.71
99213 Established patient office or other outpatient visit, typically 15 minutes	250	209	$377.24	$94.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$471.52	$114.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	58	$532.90	$133.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$732.50	$172.90
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$269.33	$68.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$235.10	$58.92
97597 Removal of tissue from wound, 20.0 sq cm or less	26	15	$149.08	$37.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$283.82	$72.61
35301 Removal of blood clot and portion of artery of neck	16	15	$6734.00	$1139.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$535.00	$138.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$143.33	$37.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	455	81	$251.94	$61.89
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	324	34	$110.00	$27.21
99213 Established patient office or other outpatient visit, typically 15 minutes	247	202	$329.57	$95.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	58	$472.31	$135.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$453.76	$117.59
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$222.72	$69.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$293.74	$73.80
76937 Ultrasonic guidance for blood vessel access	34	24	$59.00	$14.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$698.44	$175.36
97597 Removal of tissue from wound, 20.0 sq cm or less	34	25	$150.00	$37.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$202.09	$59.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$556.41	$139.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$336.80	$103.21
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$412.29	$103.49
75625 Radiological supervision and interpretation X-ray of abdominal aorta	11	11	$442.00	$70.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	268	74	$253.54	$64.50
99213 Established patient office or other outpatient visit, typically 15 minutes	172	149	$307.67	$78.99
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	146	23	$108.66	$28.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	45	$292.26	$75.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	60	$449.80	$114.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$447.04	$112.00
99442 Telephone medical discussion with physician, 11-20 minutes	42	42	$307.14	$79.23
97597 Removal of tissue from wound, 20.0 sq cm or less	39	30	$141.82	$38.67
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$205.05	$53.54
76937 Ultrasonic guidance for blood vessel access	31	27	$58.39	$15.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$551.20	$144.27
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$188.00	$47.64
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$409.09	$106.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$674.73	$172.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$316.91	$82.55
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	17	$442.00	$73.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$519.43	$135.48
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	12	$372.00	$89.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$189.25	$48.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	322	73	$250.16	$64.07
99213 Established patient office or other outpatient visit, typically 15 minutes	231	192	$297.52	$77.29
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	136	15	$104.00	$27.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	90	$434.88	$112.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	41	$286.30	$75.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$439.15	$113.02
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$202.04	$52.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$540.04	$141.68
76937 Ultrasonic guidance for blood vessel access	45	27	$57.13	$15.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$660.18	$171.12
97597 Removal of tissue from wound, 20.0 sq cm or less	42	22	$139.00	$24.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	12	$846.00	$157.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$312.14	$81.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$512.58	$133.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$181.17	$47.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$101.06	$26.43
75625 Radiological supervision and interpretation X-ray of abdominal aorta	13	13	$442.00	$57.86
75716 Review by radiologist of both arms or legs arteries image	12	12	$374.00	$99.97
99238 Hospital discharge day management, 30 minutes or less	11	11	$291.18	$75.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	198	$283.07	$76.15
11042 Removal of skin and tissue, 20.0 sq cm or less	207	56	$243.35	$64.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	93	$425.77	$112.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	41	$277.43	$75.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$644.00	$171.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$525.94	$141.93
97597 Removal of tissue from wound, 20.0 sq cm or less	43	25	$139.00	$24.87
99213 Established patient office or other outpatient visit, typically 15 minutes	40	27	$197.13	$53.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$402.27	$112.43
76937 Ultrasonic guidance for blood vessel access	37	34	$55.43	$15.00
75774 Radiological supervision and interpretation of imaging of artery	22	18	$246.00	$17.92
75716 Review by radiologist of both arms or legs arteries image	20	20	$374.00	$100.24
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	17	$442.00	$58.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$304.21	$81.58
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$385.00	$105.24
36821 Relocation of arm vein with connection to arm artery, open procedure	11	11	$2591.55	$710.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	227	$265.24	$74.99
11042 Removal of skin and tissue, 20.0 sq cm or less	247	54	$236.28	$62.64
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	139	18	$97.15	$26.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	45	$271.30	$73.80
99183 Management and supervision of oxygen chamber therapy per session	51	11	$420.33	$112.73
97597 Removal of tissue from wound, 20.0 sq cm or less	47	32	$139.00	$23.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	44	$418.26	$110.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$608.58	$167.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$342.59	$109.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	35	$511.83	$138.75
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	34	16	$846.00	$154.77
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$191.59	$52.15
99221 Initial hospital inpatient care per day, typically 30 minutes	29	27	$372.59	$103.39
76937 Ultrasonic guidance for blood vessel access	23	17	$55.00	$14.78
75716 Review by radiologist of both arms or legs arteries image	17	16	$374.00	$65.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$556.93	$149.12
75774 Radiological supervision and interpretation of imaging of artery	14	13	$246.00	$17.99
99238 Hospital discharge day management, 30 minutes or less	13	13	$277.31	$74.52
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$442.00	$56.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$420.50	$113.53

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MA 202600

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License MA 202600

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Surgery - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License MA 202600

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 202600

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 - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License MA 202600

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License MA 202600

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License MA 202600

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2003180 (MA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

BAJ25866 (MA)

Commercial Insurance / Payer ID Tufts

760811 (MA)

Commercial Insurance / Payer ID Commerical

042530297 (MA)

Hospital & Practice Group Affiliations

Massachusetts General Physicians Organization Inc

102 Endicott St, Danvers, MA 019233623

Phone: 9788826100

Massachusetts General Physicians Organization Inc

81 Highland Ave, Salem, MA 019702714

Phone: 9787411200

Massachusetts General Physicians Organization Inc

55 Fruit St, Boston, MA 021142696

Phone: 6177240287

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Frederick Buckley , MD

Surgery

NPI 1013905025

Doctor of Medicine (M.D.)

Dr. William Kastrinakis , MD

Surgery

NPI 1164481743

Doctor of Medicine (M.D.)

Meghan Davis-Bencal

Nurse Practitioner

NPI 1184154940

Dr. Larry Goldberg , MD

Surgery

NPI 1205820941

Doctor of Medicine (M.D.)

Christiina Murphy , PA-C

Physician Assistant - Surgical

NPI 1215238613

Physician Assistant (Certified)

Dr. Russell Ryan , MD

Surgery

NPI 1215903539

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 18, 2012

Registered at 104 ENDICOTT ST, SUITE 200, DANVERS, MA 019233623 (Tel: 9788826868)

📍

Updated Business Mailing Address May 18, 2012

Registered at 104 ENDICOTT ST, SUITE 200, DANVERS, MA 019233623 (Tel: 9788826868)

👤

Provider Name / Credentials Updated May 18, 2012

Recorded as JAMES BALCOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Surgery (License #202600 in MA)

🟢

Initial NPI Registration & Enumeration March 21, 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: 1689633273

Entity Type:

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

Enumeration Date: March 21, 2006

Last Update: May 18, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

104 Endicott St, Suite 200

Danvers, MA 019233623

Phone: 9788826868

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.