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Active NPI 1659636017 Individual Practitioner Male Practitioner

Dr. Daniel G Balcueva , OD

Optometrist • Troy, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Balcueva, OD is a certified Optometrist practicing in Troy, MI. With approximately 14 years of clinical experience since graduating from Indiana University - School Of Optometry in 2012, Dr. Balcueva delivers high-quality medical care to the local community at 735 JOHN R RD.

Dr. Balcueva is affiliated with P-Cor Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

735 John R Rd

Troy, MI 480835856

Telephone 2485443290
Fax 2485284040
Associated Practice Facility / Clinic
🏢 Pcor, Llc Facility NPI 1801122460

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Troy, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -6.8 yrs vs City Avg
City Avg: 20.8 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
45 Specialists

Practicing in Troy, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balcueva (14 Years) 14 Yrs
Troy Specialty Average (20.8 Years) 20.8 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
92014 Established patient complete exam of visual system
14 14 $120.00 $118.22
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $95.00 $91.42

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004830

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IN 18003721

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201202570 (IN)
Medicaid State Provider ID
1659636017 (MI)

Hospital & Practice Group Affiliations

P-Cor Llc

35184 Central City Pkwy, Westland, MI 481856215

Phone: 7344275200

P-Cor Llc

735 John R Rd, Troy, MI 480835859

Phone: 2489510000

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1093940066

Doctor of Optometry

NPI 1679729685

Doctor of Optometry

NPI 1720003866

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 September 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2015

Registered at 735 JOHN R RD, TROY, MI 480835856 (Tel: 2485443290)

📍
Updated Business Mailing Address September 15, 2015

Registered at 655 W 13 MILE RD, MADISON HEIGHTS, MI 480711850 (Tel: 2485889300)

👤
Provider Name / Credentials Updated September 15, 2015

Recorded as DANIEL BALCUEVA, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2015

Optometrist (License #4901004830 in MI)

🟢
Initial NPI Registration & Enumeration July 11, 2012

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: 1659636017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2012
Last Update: September 15, 2015
Sole Proprietor: No

Mailing Address

655 W 13 Mile Rd

Madison Heights, MI 480711850

Phone: 2485889300

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.