Active NPI 1629073879 Individual Practitioner Female Practitioner

Dr. Nancy A. Balin , MD, FACS

Ophthalmology • Northampton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Balin, MD, FACS is a certified Ophthalmology practicing in Northampton, MA. With approximately 46 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1980, Dr. Balin delivers high-quality medical care to the local community at 269 LOCUST ST.

Dr. Balin is affiliated with Nancy A Balin Md F A C S and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, established patient complete exam of visual system, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

269 Locust St

Northampton, MA 010622003

Telephone 4135846666

Fax 4135847428

Associated Practice Facility / Clinic

🏢 Nancy A Balin Md F A C S Facility NPI 1033114103

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1980

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Northampton, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs Matches City Avg

City Avg: 46.0 Yrs

State Avg: 30.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Northampton, MA (841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balin (46 Years) 46 Yrs

Northampton Specialty Average (46.0 Years) 46.0 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
66984 Removal of cataract with insertion of lens	1,234	29	$7.17	$2.07
92014 Established patient complete exam of visual system	640	621	$257.46	$127.39
92136 Measurement of corneal curvature and depth of eye	456	192	$133.16	$25.40
92012 Established patient problem focused exam of visual system	450	275	$195.69	$89.79
92134 Imaging of retina	252	227	$197.14	$40.58
66984 Removal of cataract with insertion of lens	229	148	$2531.88	$509.28
92133 Imaging of optic nerve	196	187	$213.88	$35.63
92083 Exam of visual field with extended testing	134	129	$216.00	$64.12
92004 New patient complete exam of visual system	131	130	$317.75	$150.73
92250 Photography of the retina	81	80	$184.20	$36.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	70	$225.00	$128.55
66821 Removal of recurring cataract in lens capsule using a laser	52	46	$1150.00	$311.55
76514 Ultrasound scan of cornea to determine thickness	43	42	$70.00	$10.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$346.86	$166.65
66982 Complex removal of cataract with insertion of prosthetic lens	33	29	$2800.00	$718.80
65855 Laser repair to improve eye fluid flow	20	16	$1400.00	$245.39
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	16	13	$4100.00	$659.17
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$84.00	$27.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	643	29	$14.35	$2.65
92014 Established patient complete exam of visual system	553	535	$216.00	$132.50
92136 Measurement of corneal curvature and depth of eye	521	211	$132.15	$26.58
92012 Established patient problem focused exam of visual system	245	176	$158.00	$93.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	242	176	$116.27	$58.86
92134 Imaging of retina	233	204	$280.00	$41.82
66984 Removal of cataract with insertion of lens	216	142	$2441.67	$529.39
92133 Imaging of optic nerve	196	180	$278.57	$36.90
92004 New patient complete exam of visual system	177	177	$259.00	$156.99
92083 Exam of visual field with extended testing	146	142	$216.00	$66.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	89	$214.89	$129.64
92250 Photography of the retina	70	69	$213.00	$37.90
76514 Ultrasound scan of cornea to determine thickness	53	51	$70.00	$11.41
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$157.40	$93.89
66821 Removal of recurring cataract in lens capsule using a laser	52	46	$1150.00	$322.20
65855 Laser repair to improve eye fluid flow	42	30	$1400.00	$255.35
66982 Complex removal of cataract with insertion of prosthetic lens	30	21	$2666.67	$736.99
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	23	15	$3826.09	$685.67
92285 Photography of content of eyes	14	13	$98.00	$22.45
92082 Exam of visual field with intermediate testing	12	12	$175.00	$49.31
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$84.00	$28.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,351	28	$3.18	$1.26
92012 Established patient problem focused exam of visual system	453	235	$158.00	$94.24
92014 Established patient complete exam of visual system	400	392	$216.11	$134.44
92136 Measurement of corneal curvature and depth of eye	251	125	$129.04	$28.21
66984 Removal of cataract with insertion of lens	236	123	$2028.41	$442.83
92134 Imaging of retina	199	172	$280.00	$42.40
92004 New patient complete exam of visual system	196	196	$259.00	$158.20
92133 Imaging of optic nerve	139	132	$280.00	$38.04
92083 Exam of visual field with extended testing	108	106	$216.00	$67.08
92250 Photography of the retina	59	58	$210.00	$38.32
65855 Laser repair to improve eye fluid flow	49	36	$1400.00	$259.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$194.00	$134.77
76514 Ultrasound scan of cornea to determine thickness	46	46	$70.00	$11.58
66821 Removal of recurring cataract in lens capsule using a laser	42	39	$1150.00	$324.20
66982 Complex removal of cataract with insertion of prosthetic lens	38	31	$2705.26	$742.42
76519 Ultrasound of eye for determination of lens power	27	13	$124.70	$35.38
92285 Photography of content of eyes	23	22	$98.00	$23.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,849	40	$2.38	$1.26
92012 Established patient problem focused exam of visual system	410	223	$158.00	$94.04
92014 Established patient complete exam of visual system	404	394	$216.00	$133.88
92136 Measurement of corneal curvature and depth of eye	223	111	$132.29	$29.72
66984 Removal of cataract with insertion of lens	188	128	$2411.70	$532.89
92004 New patient complete exam of visual system	178	178	$259.00	$159.18
92134 Imaging of retina	159	137	$280.00	$42.49
92083 Exam of visual field with extended testing	137	131	$216.00	$66.87
92133 Imaging of optic nerve	126	122	$280.00	$38.00
92250 Photography of the retina	96	93	$210.00	$39.77
76514 Ultrasound scan of cornea to determine thickness	49	48	$70.00	$11.60
65855 Laser repair to improve eye fluid flow	43	36	$1400.00	$260.47
66982 Complex removal of cataract with insertion of prosthetic lens	42	31	$2645.24	$734.04
76519 Ultrasound of eye for determination of lens power	36	18	$139.03	$36.76
66821 Removal of recurring cataract in lens capsule using a laser	35	33	$1150.00	$328.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$194.00	$135.79
92285 Photography of content of eyes	18	16	$98.00	$23.18
0191T Internal insertion of eye fluid drainage device	15	12	$2100.00	$366.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	375	203	$158.00	$93.72
92014 Established patient complete exam of visual system	357	350	$216.00	$133.53
92136 Measurement of corneal curvature and depth of eye	170	83	$131.24	$33.17
66984 Removal of cataract with insertion of lens	158	102	$2520.25	$563.18
92134 Imaging of retina	136	117	$280.00	$42.25
92004 New patient complete exam of visual system	98	98	$259.00	$157.80
92133 Imaging of optic nerve	98	93	$280.00	$38.42
92083 Exam of visual field with extended testing	93	89	$216.00	$67.31
92250 Photography of the retina	83	79	$263.13	$46.31
65855 Laser repair to improve eye fluid flow	51	39	$1400.00	$262.29
66821 Removal of recurring cataract in lens capsule using a laser	31	25	$1150.00	$331.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$194.00	$114.49
76514 Ultrasound scan of cornea to determine thickness	30	29	$70.00	$12.21
66982 Complex removal of cataract with insertion of prosthetic lens	22	18	$2745.45	$771.75
0191T Internal insertion of eye fluid drainage device	16	11	$2100.00	$352.32
92285 Photography of content of eyes	15	15	$98.00	$23.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	522	255	$158.00	$92.91
92014 Established patient complete exam of visual system	439	428	$216.00	$133.03
76519 Ultrasound of eye for determination of lens power	260	113	$126.35	$34.47
66984 Removal of cataract with insertion of lens	185	119	$2522.16	$648.90
92134 Imaging of retina	166	137	$280.00	$43.00
92083 Exam of visual field with extended testing	137	126	$216.00	$67.79
92004 New patient complete exam of visual system	127	127	$259.00	$158.80
92133 Imaging of optic nerve	113	109	$280.00	$38.27
92250 Photography of the retina	86	82	$420.00	$50.59
92136 Measurement of corneal curvature and depth of eye	81	37	$138.89	$36.48
65855 Laser repair to improve eye fluid flow	57	40	$1400.00	$260.70
66982 Complex removal of cataract with insertion of prosthetic lens	38	31	$2752.63	$822.87
76514 Ultrasound scan of cornea to determine thickness	31	30	$70.00	$12.71
66821 Removal of recurring cataract in lens capsule using a laser	30	28	$1150.00	$330.10
92285 Photography of content of eyes	18	17	$98.00	$22.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	514	263	$143.10	$88.96
92014 Established patient complete exam of visual system	451	430	$198.14	$128.26
76519 Ultrasound of eye for determination of lens power	351	153	$112.70	$36.91
66984 Removal of cataract with insertion of lens	204	134	$2429.41	$617.37
92004 New patient complete exam of visual system	162	162	$228.74	$154.17
92134 Imaging of retina	159	136	$247.30	$42.38
92083 Exam of visual field with extended testing	138	127	$193.52	$64.81
92133 Imaging of optic nerve	121	116	$248.93	$37.19
92250 Photography of the retina	104	100	$378.46	$55.67
66821 Removal of recurring cataract in lens capsule using a laser	52	44	$1150.00	$319.78
65855 Laser repair to improve eye fluid flow	52	37	$1400.00	$247.72
76514 Ultrasound scan of cornea to determine thickness	36	36	$64.44	$14.27
66982 Complex removal of cataract with insertion of prosthetic lens	26	23	$2676.92	$781.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$181.53	$109.01
92285 Photography of content of eyes	14	14	$90.00	$19.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	580	301	$110.00	$83.41
92014 Established patient complete exam of visual system	487	466	$150.20	$120.30
76519 Ultrasound of eye for determination of lens power	283	125	$91.18	$39.54
92083 Exam of visual field with extended testing	161	143	$150.00	$60.91
66984 Removal of cataract with insertion of lens	158	108	$2501.27	$600.52
92134 Imaging of retina	157	129	$200.00	$39.62
92133 Imaging of optic nerve	153	142	$200.00	$35.42
92250 Photography of the retina	146	142	$300.00	$64.61
92004 New patient complete exam of visual system	140	140	$180.00	$145.94
76514 Ultrasound scan of cornea to determine thickness	41	40	$50.00	$13.95
65855 Laser repair to improve eye fluid flow	38	31	$1400.00	$238.05
66821 Removal of recurring cataract in lens capsule using a laser	27	23	$1150.00	$300.09
66982 Complex removal of cataract with insertion of prosthetic lens	23	19	$2695.65	$744.16
68761 Closure of tear duct opening using plug	20	12	$200.00	$126.15
92285 Photography of content of eyes	15	15	$70.00	$19.21
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$60.00	$26.14

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 56843

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3013367 (MA)

Hospital & Practice Group Affiliations

Nancy A Balin Md F A C S

269 Locust St, Florence, MA 010622003

Phone: 4135846666306

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Angela Cherniak , OD

Optometrist

NPI 1699115477

Doctor of Optometry

Dr. Kayla Knotts , OD

Optometrist

NPI 1821574492

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2012

Registered at 269 LOCUST ST, NORTHAMPTON, MA 010622003 (Tel: 4135846666)

📍

Updated Business Mailing Address May 24, 2012

Registered at 269 LOCUST ST, NORTHAMPTON, MA 010622003 (Tel: 4135846666)

👤

Provider Name / Credentials Updated May 24, 2012

Recorded as NANCY BALIN, M.D., F.A.C.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Ophthalmology (License #56843 in MA)

🟢

Initial NPI Registration & Enumeration June 15, 2005

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: 1629073879

Entity Type:

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

Enumeration Date: June 15, 2005

Last Update: May 24, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

269 Locust St

Northampton, MA 010622003

Phone: 4135846666

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.