Active NPI 1639159841 Individual Practitioner Male Practitioner

Dr. William B Balcom , MD

Orthopaedic Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Balcom, MD is a certified Orthopaedic Surgery practicing in Worcester, MA. With approximately 38 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1988, Dr. Balcom delivers high-quality medical care to the local community at 123 SUMMER STREET.

Dr. Balcom is affiliated with Reliant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer Street
Suite 320

Worcester, MA 01608

Telephone 5083683140

Fax 5083683143

Associated Practice Facility / Clinic

🏢 Reliant Medical Group, Inc Facility NPI 1184812620

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +13.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

46 Specialists

Practicing in Worcester, MA (746 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balcom (38 Years) 38 Yrs

Worcester Specialty Average (24.3 Years) 24.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	540	99	$3.88	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	187	$313.00	$129.60
99213 Established patient office or other outpatient visit, typically 15 minutes	134	124	$211.00	$91.12
20610 Aspiration and/or injection of fluid from large joint	133	105	$232.41	$68.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$305.00	$112.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$455.00	$165.54
27447 Replacement of knee joint, both sides of knee	34	33	$3897.00	$1272.48
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$3648.00	$1275.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	625	107	$3.51	$1.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	190	$313.00	$130.14
20610 Aspiration and/or injection of fluid from large joint	147	110	$231.97	$69.01
99213 Established patient office or other outpatient visit, typically 15 minutes	130	115	$211.00	$91.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$305.00	$114.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$455.00	$168.40
27447 Replacement of knee joint, both sides of knee	41	40	$3897.00	$1279.70
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$3648.00	$1300.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$130.00	$58.09
27446 Repair of knee joint	13	13	$2802.00	$1164.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	825	132	$3.53	$1.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	179	$313.00	$131.83
20610 Aspiration and/or injection of fluid from large joint	182	134	$238.74	$72.62
99213 Established patient office or other outpatient visit, typically 15 minutes	127	117	$211.00	$94.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$303.37	$116.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$453.94	$170.52
27447 Replacement of knee joint, both sides of knee	45	44	$3897.00	$1326.40
27130 Replacement of thigh bone and hip joint with prosthesis	27	27	$3648.00	$1327.28

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	220	171	$313.00	$135.35
20610 Aspiration and/or injection of fluid from large joint	162	128	$230.86	$70.77
J1030 Injection, methylprednisolone acetate, 40 mg	159	119	$11.20	$5.69
99213 Established patient office or other outpatient visit, typically 15 minutes	140	122	$211.00	$94.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$289.00	$116.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$444.87	$175.36
27447 Replacement of knee joint, both sides of knee	42	42	$3897.00	$1347.68
27130 Replacement of thigh bone and hip joint with prosthesis	34	34	$3648.00	$1323.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$65.00	$24.14

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	238	201	$313.00	$113.85
J1030 Injection, methylprednisolone acetate, 40 mg	177	135	$11.18	$6.03
20610 Aspiration and/or injection of fluid from large joint	160	138	$235.13	$70.41
99213 Established patient office or other outpatient visit, typically 15 minutes	89	78	$211.00	$78.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$437.00	$172.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$289.00	$111.68
27447 Replacement of knee joint, both sides of knee	34	33	$3897.00	$1448.31
99442 Telephone medical discussion with physician, 11-20 minutes	30	30	$146.37	$78.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$57.00	$24.65
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$3648.00	$1454.48

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	393	308	$313.00	$113.10
J1030 Injection, methylprednisolone acetate, 40 mg	241	174	$11.18	$6.28
20610 Aspiration and/or injection of fluid from large joint	220	179	$236.00	$67.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$437.00	$171.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$289.00	$112.09
27447 Replacement of knee joint, both sides of knee	61	61	$3897.00	$1441.80
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$211.00	$77.50
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$3648.00	$1443.83

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	386	302	$298.02	$108.19
J1030 Injection, methylprednisolone acetate, 40 mg	163	123	$11.18	$6.68
20610 Aspiration and/or injection of fluid from large joint	161	127	$186.78	$63.89
27447 Replacement of knee joint, both sides of knee	63	63	$3897.00	$1395.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$275.00	$109.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$415.00	$166.89
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$201.00	$73.99
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$3648.00	$1401.49
36415 Insertion of needle into vein for collection of blood sample	19	15	$18.00	$2.94

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	385	300	$274.16	$106.36
20610 Aspiration and/or injection of fluid from large joint	138	112	$188.73	$63.50
J1030 Injection, methylprednisolone acetate, 40 mg	138	108	$10.05	$5.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$411.00	$163.71
27447 Replacement of knee joint, both sides of knee	52	51	$3915.73	$1363.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$270.00	$105.31
27130 Replacement of thigh bone and hip joint with prosthesis	28	28	$3648.00	$1363.93
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$186.91	$73.21
29880 Removal of both knee cartilages using an endoscope	11	11	$1738.00	$567.89

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 77380

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2115778 (MA)

Hospital & Practice Group Affiliations

Reliant Medical Group Inc

123 Summer St, Worcester, MA 016081216

Phone: 5083635000

Practice Associates & Co-Workers

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

19 Associated Practitioners

Dr. Thomas Kesman , MD

Orthopaedic Surgery

NPI 1033230776

Doctor of Medicine (M.D.)

Dr. Matthew Bernier , DC

Chiropractor

NPI 1033868062

Doctor of Chiropractic

Dr. Antranig Kalaydjian , MD

Anesthesiology - Pain Medicine

NPI 1043658735

Doctor of Medicine (M.D.)

Dr. Brian Burroughs , MD

Orthopaedic Surgery

NPI 1124288477

Doctor of Medicine (M.D.)

Dr. Gary Peters , MD

Specialist

NPI 1154306108

Doctor of Medicine (M.D.)

Jonathan Ponte , NP

Nurse Practitioner - Adult Health

NPI 1174811343

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2008

Registered at 123 SUMMER STREET, SUITE 320, WORCESTER, MA 01608 (Tel: 5083683140)

📍

Updated Business Mailing Address July 25, 2008

Registered at 123 SUMMER STREET, SUITE 320, WORCESTER, MA 01608 (Tel: 5083683140)

👤

Provider Name / Credentials Updated July 25, 2008

Recorded as WILLIAM BALCOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2008

Orthopaedic Surgery (License #77380 in MA)

🟢

Initial NPI Registration & Enumeration January 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639159841

Entity Type:

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

Enumeration Date: January 23, 2006

Last Update: July 25, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

123 Summer Street, Suite 320

Worcester, MA 01608

Phone: 5083683140

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.