Active NPI 1437107695 Individual Practitioner Male Practitioner

Dr. Scott M Balonier , DO

Emergency Medicine • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Balonier, DO is a certified Emergency Medicine practicing in Kettering, OH. With approximately 24 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2002, Dr. Balonier delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Dr. Balonier is affiliated with Emergency Medicine Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9374364658

Fax 9373958347

Associated Practice Facility / Clinic

🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Kettering, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +7.7 yrs vs City Avg

City Avg: 16.3 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

149 Specialists

Practicing in Kettering, OH (3084 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balonier (24 Years) 24 Yrs

Kettering Specialty Average (16.3 Years) 16.3 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
99285 Emergency department visit for life threatening or functioning severity	239	239	$1191.00	$167.90
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	134	133	$49.00	$7.67
99284 Emergency department visit with moderate level of medical decision making	99	99	$771.00	$115.47
99283 Emergency department visit with low level of medical decision making	40	39	$516.00	$68.18
99291 Critical care, first 30-74 minutes	33	33	$1240.00	$202.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	244	243	$1191.00	$174.76
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	131	125	$49.00	$7.96
99284 Emergency department visit with moderate level of medical decision making	116	116	$771.00	$119.99
99291 Critical care, first 30-74 minutes	34	34	$1240.00	$210.20
99283 Emergency department visit with low level of medical decision making	27	27	$516.00	$71.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	249	241	$1191.00	$177.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	162	153	$49.00	$8.16
99284 Emergency department visit with moderate level of medical decision making	115	115	$771.00	$123.08
99283 Emergency department visit with low level of medical decision making	62	62	$516.00	$71.95
99291 Critical care, first 30-74 minutes	38	38	$1240.00	$217.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	289	286	$1191.00	$182.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	208	194	$49.00	$8.30
99284 Emergency department visit with moderate level of medical decision making	87	86	$771.00	$122.12
99283 Emergency department visit with low level of medical decision making	51	50	$516.00	$73.28
99291 Critical care, first 30-74 minutes	48	48	$1240.00	$220.61
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$849.00	$86.04
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$664.00	$145.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	275	272	$1191.00	$174.43
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	165	161	$49.00	$8.40
99284 Emergency department visit with moderate level of medical decision making	87	86	$771.00	$120.49
99283 Emergency department visit with low level of medical decision making	64	63	$516.00	$65.54
99291 Critical care, first 30-74 minutes	32	32	$1240.00	$222.67
99282 Emergency department visit with straightforward medical decision making	13	13	$343.00	$43.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	305	301	$1191.00	$170.82
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	235	220	$49.00	$8.34
99284 Emergency department visit with moderate level of medical decision making	75	75	$771.00	$115.36
99283 Emergency department visit with low level of medical decision making	67	67	$516.00	$61.32
99291 Critical care, first 30-74 minutes	36	35	$1240.00	$218.82
99282 Emergency department visit with straightforward medical decision making	17	17	$343.00	$40.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	311	308	$1181.77	$170.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	245	230	$48.35	$8.30
99284 Emergency department visit with moderate level of medical decision making	95	94	$771.00	$115.49
99283 Emergency department visit with low level of medical decision making	89	89	$516.00	$61.17
99291 Critical care, first 30-74 minutes	53	52	$1240.00	$219.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	380	372	$1150.00	$170.38
99284 Emergency department visit with moderate level of medical decision making	111	110	$771.00	$115.00
99283 Emergency department visit with low level of medical decision making	109	107	$516.00	$61.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	98	93	$46.00	$8.30
99291 Critical care, first 30-74 minutes	42	42	$1240.00	$219.03
99282 Emergency department visit with straightforward medical decision making	16	16	$343.00	$40.84

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 34008272

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2495303 (OH)

Hospital & Practice Group Affiliations

Emergency Medicine Specialists Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9377024024

Secondary Practice Locations

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

6147 State Route 122

Middletown, OH 450055201

Phone: 9374364658

450 Washington Jackson Rd

Eaton, OH 453208699

Phone: 9374364658

405 W Grand Ave

Dayton, OH 454057538

Phone: 9374364658

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374364658

600 W Main St

Troy, OH 453732928

Phone: 9379807010

Practice Associates & Co-Workers

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

32 Associated Practitioners

Dr. Richard Greeno , MD

Emergency Medicine

NPI 1073590394

Doctor of Medicine (M.D.)

Dr. Aditya Arora , MD

Emergency Medicine

NPI 1073599981

Doctor of Medicine (M.D.)

Dr. Stephan Kircher , DO

Emergency Medicine

NPI 1083691901

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Orosz , DO

Emergency Medicine

NPI 1093793788

Doctor of Osteopathic Medicine (D.O.)

Mackenzie Baker , PA

Physician Assistant

NPI 1104204221

Physician Assistant

Jason Leigh , PA

Physician Assistant

NPI 1134775273

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 12, 2019

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)

✅

NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2015

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9374364658)

📍

Updated Business Mailing Address June 02, 2015

Registered at 8280 YANKEE ST, CENTERVILLE, OH 454581806 (Tel: 9374364658)

👤

Provider Name / Credentials Updated June 02, 2015

Recorded as SCOTT BALONIER, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Emergency Medicine (License #34008272 in OH)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1437107695

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: June 25, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374364658

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.