Active NPI 1225035066 Individual Practitioner Male Practitioner

Dr. Brian R Balsis , MD

Anesthesiology • Wareham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Balsis, MD is a certified Anesthesiology practicing in Wareham, MA. With approximately 26 years of clinical experience since graduating from Tufts University School Of Medicine in 2000, Dr. Balsis delivers high-quality medical care to the local community at 10 PETER COOPER DR.

Dr. Balsis is affiliated with Cape Cod Anesthesia Associates, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on small and large bowel 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

10 Peter Cooper Dr

Wareham, MA 025712209

Telephone 5082734200

Fax 5082734205

Associated Practice Facility / Clinic

🏢 Southcoast Hospitals Group Inc Facility NPI 1205834678

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Wareham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +1.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Wareham, MA (2146 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balsis (26 Years) 26 Yrs

Wareham Specialty Average (25.0 Years) 25.0 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
00811 Anesthesia for procedure on large bowel using an endoscope	55	55	$819.28	$103.44
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	45	45	$861.40	$118.82
00813 Anesthesia for procedure on small and large bowel using an endoscope	19	19	$1035.08	$128.54
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	18	18	$1226.28	$66.19
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	17	$1052.96	$134.54
01402 Anesthesia for procedure for total knee joint replacement	17	17	$2339.01	$318.33
01214 Anesthesia for total hip replacement	16	16	$2594.18	$344.60
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	14	14	$1692.97	$216.06
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	13	13	$1114.92	$72.80
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$1412.72	$176.90
00812 Anesthesia for exam of colon using an endoscope	11	11	$795.45	$92.24
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$2666.25	$304.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	43	43	$734.95	$103.66
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	26	26	$810.00	$105.53
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$1729.00	$221.49
00813 Anesthesia for procedure on small and large bowel using an endoscope	16	16	$928.69	$153.15
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	16	16	$1662.38	$221.12
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$1103.82	$118.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	59	59	$754.00	$95.48
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	46	46	$850.37	$118.51
00813 Anesthesia for procedure on small and large bowel using an endoscope	26	26	$938.00	$126.24
01940 Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance	21	21	$686.52	$116.18
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$1903.78	$243.63
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$100.00	$32.04
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	15	15	$1703.00	$204.68
00400 Anesthesia for procedure on skin of arms, legs, or trunk	13	13	$905.00	$96.96
01922 Anesthesia for x-ray or radiation therapy	12	12	$1135.33	$133.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	41	41	$1136.97	$86.61
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	40	40	$1266.81	$106.33
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$809.47	$66.72
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	17	17	$2125.81	$223.48
00813 Anesthesia for procedure on small and large bowel using an endoscope	15	15	$1114.86	$117.06
00812 Anesthesia for exam of colon using an endoscope	13	13	$1069.99	$72.84
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	13	13	$1325.68	$139.67
01922 Anesthesia for x-ray or radiation therapy	12	12	$1864.57	$148.99
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	11	11	$2438.73	$179.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	56	56	$1954.17	$113.09
00811 Anesthesia for procedure on large bowel using an endoscope	32	32	$1654.74	$94.41
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	24	$342.28	$33.40
00812 Anesthesia for exam of colon using an endoscope	18	18	$1482.77	$87.31
00813 Anesthesia for procedure on small and large bowel using an endoscope	16	16	$2180.41	$124.28
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	12	12	$1904.04	$111.33
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	12	12	$5474.67	$330.33
64450 Injection of anesthetic agent, other peripheral nerve or branch	12	12	$1710.19	$40.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	40	38	$2296.92	$144.62
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	31	31	$339.78	$33.70
00811 Anesthesia for procedure on large bowel using an endoscope	23	23	$2224.64	$140.83
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	20	19	$4645.33	$292.84
00812 Anesthesia for exam of colon using an endoscope	18	18	$1819.84	$111.37
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	16	16	$5653.36	$358.56
00400 Anesthesia for procedure on skin of arms, legs, or trunk	13	13	$2605.84	$163.45
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	12	12	$4491.07	$280.10
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	11	11	$1934.55	$121.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	27	27	$1335.94	$145.65
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	21	21	$3233.00	$372.71
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	21	21	$3181.51	$333.31
00811 Anesthesia for procedure on large bowel using an endoscope	16	16	$1846.13	$147.70
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	14	13	$2689.50	$309.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$151.69	$33.65
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	12	12	$1224.00	$154.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	40	40	$1039.50	$158.56
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	34	33	$1000.59	$150.72
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	26	25	$1858.85	$294.92
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	21	$105.00	$33.29
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	18	16	$1905.00	$300.48
00797 Anesthesia for procedure on stomach for obesity including use of an endoscope	16	16	$1929.38	$391.30

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MA 220428

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2061911 (MA)

Hospital & Practice Group Affiliations

Cape Cod Anesthesia Associates, Inc

27 Park St, Hyannis, MA 026015230

Phone: 5087711800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Alison Vargas , MD

Anesthesiology

NPI 1598717803

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 October 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2011

Registered at 10 PETER COOPER DR, WAREHAM, MA 025712209 (Tel: 5082734200)

📍

Updated Business Mailing Address October 05, 2011

Registered at 340 MAIN ST, STE. 670, WORCESTER, MA 016081604 (Tel: 5087543566)

👤

Provider Name / Credentials Updated October 05, 2011

Recorded as BRIAN BALSIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Anesthesiology (License #220428 in MA)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1225035066

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: October 05, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

340 Main St, Ste. 670

Worcester, MA 016081604

Phone: 5087543566

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.