Active NPI 1134296791 Individual Practitioner Male Practitioner

Dr. Michael Eric Balkovich , MD

Surgery - Plastic and Reconstructive Surgery • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Michael Balkovich, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Portland, OR. Practice services are available at 5050 NE HOYT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of finger, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5050 Ne Hoyt St
Suite 515

Portland, OR 972132991

Telephone 5032367743

Fax 5032367031

Associated Practice Facility / Clinic

🏢 Portland Surgical Oncology, Pc Facility NPI 1154327658

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Portland, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.5 Yrs

State Avg: 17.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Portland, OR (24 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

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	33	19	$243.64	$134.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$225.00	$115.87

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	70	34	$230.00	$112.49
73140 X-ray of finger, minimum of 2 views	28	11	$73.71	$37.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$225.00	$110.99

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	63	32	$223.57	$111.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	48	12	$5.25	$5.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$223.00	$110.68

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	79	36	$215.00	$104.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	11	$5.25	$5.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$220.00	$101.45
Q4021 Cast supplies, short arm splint, adult (11 years +), plaster	17	14	$10.00	$6.67
29125 Application of nonmoveable forearm to hand splint	16	14	$190.00	$66.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$330.00	$158.15

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	81	39	$215.00	$102.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	71	18	$5.25	$5.17
Q4021 Cast supplies, short arm splint, adult (11 years +), plaster	28	20	$10.00	$6.13
29125 Application of nonmoveable forearm to hand splint	26	20	$190.00	$60.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$220.00	$99.37
20550 Injection into tendon or ligament	19	13	$168.42	$48.81
64721 Release and/or relocation of hand nerve	12	11	$1048.33	$407.69

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OR MD13984

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

221762 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Molly Bredenberg , PT

Physical Therapist

NPI 1003028978

Physical Therapist

Dr. Alison Mitchell , MD

Family Medicine

NPI 1003919887

Doctor of Medicine (M.D.)

Dr. John Heffner , MD

Internal Medicine - Pulmonary Disease

NPI 1013090299

Doctor of Medicine (M.D.)

Dr. Theresa Morikawa , PharmD, BCACP

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013205137

Doctor of Pharmacy (Pharm.D.), BCACP

Dr. Donald Young , MD

Urology

NPI 1013900059

Doctor of Medicine (M.D.)

Dr. Gretchen Vanderbeek , MD

Internal Medicine

NPI 1023279064

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2016

Registered at 5050 NE HOYT ST, SUITE 515, PORTLAND, OR 972132991 (Tel: 5032367743)

📍

Updated Business Mailing Address December 30, 2016

Registered at 5050 NE HOYT ST, SUITE 515, PORTLAND, OR 972132991 (Tel: 5032367743)

👤

Provider Name / Credentials Updated December 30, 2016

Recorded as MICHAEL BALKOVICH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Surgery (License #MD13984 in OR)

🟢

Initial NPI Registration & Enumeration November 29, 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: 1134296791

Entity Type:

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

Enumeration Date: November 29, 2006

Last Update: December 30, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5050 Ne Hoyt St, Suite 515

Portland, OR 972132991

Phone: 5032367743

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.