Active NPI 1720188832 Individual Practitioner Male Practitioner

Dr. Andrew H Balder , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Balder, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 47 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1979, Dr. Balder delivers high-quality medical care to the local community at 11 WILBRAHAM RD.

Dr. Balder maintains professional affiliations with Baystate Medical Practices Inc, City Of Springfield and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 Wilbraham Rd

Springfield, MA 011093161

Telephone 4137943710

Fax 4137949595

Associated Practice Facility / Clinic

🏢 Baystate Medical Center, Inc. Facility NPI 1881799427

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +26.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balder (47 Years) 47 Yrs

Springfield Specialty Average (20.3 Years) 20.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	65	$268.22	$96.38
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$187.73	$65.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	54	$252.45	$98.43
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$174.09	$66.65
36415 Insertion of needle into vein for collection of blood sample	17	11	$20.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	52	$250.00	$100.77
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$173.00	$68.51
36415 Insertion of needle into vein for collection of blood sample	39	25	$20.00	$2.97
99442 Telephone medical discussion with physician, 11-20 minutes	24	22	$164.00	$68.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	63	$250.00	$103.21
99442 Telephone medical discussion with physician, 11-20 minutes	56	45	$164.00	$70.13
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$173.00	$69.84
36415 Insertion of needle into vein for collection of blood sample	26	20	$20.00	$3.00
99443 Telephone medical discussion with physician, 21-30 minutes	21	19	$242.00	$103.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	73	$243.94	$82.58
99442 Telephone medical discussion with physician, 11-20 minutes	64	46	$145.09	$53.80
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$165.26	$53.61
99443 Telephone medical discussion with physician, 21-30 minutes	31	25	$216.03	$82.44
99441 Telephone medical discussion with physician, 5-10 minutes	21	20	$76.48	$27.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	101	$242.00	$81.25
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$164.00	$53.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	106	$242.00	$79.12
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$164.00	$51.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	111	$242.00	$80.49
99213 Established patient office or other outpatient visit, typically 15 minutes	71	64	$164.00	$51.29

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 60192

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

City Of Springfield

755 Worthington St, Springfield, MA 011051140

Phone: 4133379700

Baystate Medical Practices Inc

280 Chestnut St, Springfield, MA 011991001

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011991001

Phone: 4137945439

Baystate Medical Practices Inc

11 Wilbraham Rd, Springfield, MA 011093161

Phone: 4137943710

Practice Associates & Co-Workers

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

30 Associated Practitioners

Levonne Wilson , NP

Nurse Practitioner - Adult Health

NPI 1033219282

Nurse Practitioner

Dr. Paul Pirraglia , MD

Internal Medicine

NPI 1043250160

Doctor of Medicine (M.D.)

Dr. Sonia Novik , MD

Internal Medicine

NPI 1063620862

Doctor of Medicine (M.D.)

Julie Bordua , NP

Nurse Practitioner - Family

NPI 1063898351

Nurse Practitioner

Melissa Miles , PA-C

Physician Assistant - Medical

NPI 1124129226

Physician Assistant (Certified)

Dr. Amanda Westlake , MD

Internal Medicine

NPI 1154687820

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2018

Registered at 11 WILBRAHAM RD, SPRINGFIELD, MA 011093161 (Tel: 4137943710)

📍

Updated Business Mailing Address January 26, 2018

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as ANDREW BALDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Internal Medicine (License #60192 in MA)

✅

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 11 WILBRAHAM RD, SPRINGFIELD, MA 011093161 (Tel: 4137943710)

📍

Updated Business Mailing Address November 15, 2016

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as ANDREW BALDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Internal Medicine (License #60192 in MA)

🟢

Initial NPI Registration & Enumeration September 25, 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: 1720188832

Entity Type:

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

Enumeration Date: September 25, 2006

Last Update: January 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut Street, 2nd Floor

Springfield, MA 011991001

Phone: 4137945700

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.