Active NPI 1184132813 Individual Practitioner Male Practitioner

Caleb Josef Balas

Physician Assistant • Bismarck, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Caleb Balas is a certified Physician Assistant practicing in Bismarck, ND. With approximately 9 years of clinical experience since completing medical education in 2017, Caleb Balas delivers high-quality medical care to the local community at 225 N 7TH ST.

Caleb Balas is affiliated with Sanford Bismarck and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 N 7th St

Bismarck, ND 585014417

Telephone 7013238920

Associated Practice Facility / Clinic

🏢 Medcenter One Inc Facility NPI 1396880027

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bismarck, ND

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -4.1 yrs vs City Avg

City Avg: 13.1 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

77 Specialists

Practicing in Bismarck, ND (469 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balas (9 Years) 9 Yrs

Bismarck Specialty Average (13.1 Years) 13.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	139	122	$82.00	$53.37
20610 Aspiration and/or injection of fluid from large joint	79	58	$69.47	$39.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	58	45	$76.55	$47.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$102.00	$65.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$44.00	$28.44
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$653.00	$163.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	128	111	$82.00	$53.74
20610 Aspiration and/or injection of fluid from large joint	81	50	$74.67	$42.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	54	43	$76.74	$48.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$102.00	$68.13
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$650.00	$167.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$44.00	$29.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	104	$83.14	$55.56
20610 Aspiration and/or injection of fluid from large joint	48	34	$77.00	$43.49
27130 Replacement of thigh bone and hip joint with prosthesis	44	43	$650.00	$169.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	40	32	$75.85	$48.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$102.00	$69.19
27447 Replacement of knee joint, both sides of knee	19	19	$687.58	$173.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	106	$79.14	$56.35
20610 Aspiration and/or injection of fluid from large joint	56	43	$76.43	$44.14
27130 Replacement of thigh bone and hip joint with prosthesis	50	49	$650.00	$169.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	46	38	$76.65	$51.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	14	$92.17	$32.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$102.00	$69.88
27447 Replacement of knee joint, both sides of knee	22	21	$653.20	$170.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$112.07	$83.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	76	$67.09	$42.77
20610 Aspiration and/or injection of fluid from large joint	46	30	$68.09	$43.57
27130 Replacement of thigh bone and hip joint with prosthesis	38	36	$641.00	$181.02
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	24	22	$72.92	$50.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$90.35	$32.94
27447 Replacement of knee joint, both sides of knee	13	12	$653.20	$180.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	90	$67.00	$41.14
20610 Aspiration and/or injection of fluid from large joint	50	34	$66.96	$42.24
27130 Replacement of thigh bone and hip joint with prosthesis	36	36	$623.42	$176.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$105.00	$65.56
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	31	$72.00	$49.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$102.00	$62.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$87.67	$32.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	12	$86.69	$32.59
20610 Aspiration and/or injection of fluid from large joint	23	16	$70.43	$44.27
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$612.48	$179.80
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$74.83	$40.15

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Sanford Bismarck

3318 N 14th St, Bismarck, ND 585031614

Phone: 7013238300

Sanford Bismarck

225 N 7th St, Bismarck, ND 585014417

Phone: 7013238922

Sanford Bismarck

300 N 7th St, Bismarck, ND 585014439

Phone: 7013236000

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Coridon Huez , MD

Orthopaedic Surgery

NPI 1235421553

Doctor of Medicine (M.D.)

Morgan Reese , PA-C

Physician Assistant

NPI 1275909244

Physician Assistant (Certified)

Alexis Int Veldt

Physician Assistant

NPI 1336902832

Dr. Anthony Kasch , MD

Orthopaedic Surgery

NPI 1356728182

Doctor of Medicine (M.D.)

Dean Chumley

Specialist/Technologist - Athletic Trainer

NPI 1447628144

Dr. Stanley Johnson , DNP, FNP-C

Nurse Practitioner

NPI 1770215394

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2018

Registered at 225 N 7TH ST, BISMARCK, ND 585014417 (Tel: 7013238920)

📍

Updated Business Mailing Address January 16, 2018

Registered at 403 7TH AVE SW, MANDAN, ND 585544042

👤

Provider Name / Credentials Updated January 16, 2018

Recorded as CALEB BALAS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Physician Assistant

🟢

Initial NPI Registration & Enumeration January 16, 2018

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: 1184132813

Entity Type:

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

Enumeration Date: January 16, 2018

Last Update: January 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

403 7th Ave Sw

Mandan, ND 585544042

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.