Active NPI 1205940186 Individual Practitioner Male Practitioner

Dr. Marcus W. Balters , MD

Surgery - Vascular Surgery • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Balters, MD is a certified Surgery - Vascular Surgery practicing in Omaha, NE. With approximately 30 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 1996, Dr. Balters delivers high-quality medical care to the local community at 601 N 30TH ST # 3700.

Dr. Balters is affiliated with Alegent Creighton Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 N 30th St # 3700

Omaha, NE 681312137

Telephone 4022804139

Associated Practice Facility / Clinic

🏢 Creighton University Facility NPI 1457344178

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Omaha, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.6 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 19.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Omaha, NE (44 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balters (30 Years) 30 Yrs

Omaha Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$108.00	$45.51
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$622.00	$202.13
71046 X-ray of chest, 2 views	15	14	$64.00	$21.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$557.00	$160.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$470.00	$152.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$440.00	$205.58
71046 X-ray of chest, 2 views	23	20	$59.74	$28.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$232.00	$109.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$349.00	$155.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$349.00	$150.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$294.00	$121.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$232.00	$122.00
71046 X-ray of chest, 2 views	12	11	$62.50	$27.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	13	$158.00	$70.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$294.00	$124.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$147.89	$69.14
71046 X-ray of chest, 2 views	15	12	$59.47	$27.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$282.23	$128.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$338.64	$152.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$146.00	$68.03
71046 X-ray of chest, 2 views	21	13	$61.00	$27.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$215.00	$99.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	54	$146.00	$67.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$216.00	$98.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$330.00	$152.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$215.00	$99.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$291.00	$134.87

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License NE 22552

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Alegent Creighton Clinic

7500 Mercy Rd, Omaha, NE 681242319

Phone: 4023985580

Alegent Creighton Clinic

16909 Lakeside Hills Ct, Omaha, NE 681304661

Alegent Creighton Clinic

7500 Mercy Rd, Omaha, NE 681242319

Phone: 4024494847

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Heather Templin , DNP, APRN, ACNP

Nurse Practitioner - Acute Care

NPI 1609205228

Doctor of Nursing Practice, Advanced Practice Registered Nurse, ACNP

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2010

Registered at 601 N 30TH ST # 3700, OMAHA, NE 681312137 (Tel: 4022804139)

📍

Updated Business Mailing Address October 22, 2010

Registered at 2500 CALIFORNIA PLZ, OMAHA, NE 68178

👤

Provider Name / Credentials Updated October 22, 2010

Recorded as MARCUS BALTERS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2010

Surgery (License #22552 in NE)

🟢

Initial NPI Registration & Enumeration August 18, 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: 1205940186

Entity Type:

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

Enumeration Date: August 18, 2006

Last Update: October 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 California Plz

Omaha, NE 68178

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.