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Active NPI 1003814559 Individual Practitioner Male Practitioner

Dr. Thomas Balitski , OD

Optometrist • Washington, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Balitski, OD is a certified Optometrist practicing in Washington, PA. With approximately 35 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1991, Dr. Balitski delivers high-quality medical care to the local community at 400 LOCUST AVE STE 2.

Dr. Balitski accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

400 Locust Ave Ste 2

Washington, PA 153013397

Telephone 7242281028
Fax 8885066237
Associated Practice Facility / Clinic
🏢 Leroy Knox Facility NPI 1417127291

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Washington, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +9.5 yrs vs City Avg
City Avg: 25.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Washington, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balitski (35 Years) 35 Yrs
Washington Specialty Average (25.5 Years) 25.5 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
92012 Established patient problem focused exam of visual system
42 42 $100.00 $83.38
92014 Established patient complete exam of visual system
21 21 $135.00 $117.72
99213 Established patient office or other outpatient visit, typically 15 minutes
15 13 $90.00 $86.08

Medical Specialties & State Licenses

CMS Verified: 2023-06-04
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000676

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 - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License PA OEG000676

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0001266939001 (PA)
Commercial Insurance / Payer ID Healthamerica Ind. #
255641 (PA)
Commercial Insurance / Payer ID Highmark Grp. #
1317065 (PA)
Commercial Insurance / Payer ID Healthamerica Grp. #
234607 (PA)
Commercial Insurance / Payer ID Highmark Ind. #
BA701466 (PA)
Commercial Insurance / Payer ID Upmc
314110 (PA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Leroy Knox

Technician/Technologist - Optician

NPI 1861474934

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 05, 2023

Registered at 400 LOCUST AVE STE 2, WASHINGTON, PA 153013397 (Tel: 7242281028)

📍
Updated Business Mailing Address June 05, 2023

Registered at 400 LOCUST AVE STE 2, WASHINGTON, PA 153013397 (Tel: 7242281028)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2023

Optometrist (License #OEG000676 in PA)

NPI Profile Active March 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2012

Registered at 3468 BRODHEAD RD, SUITE ONE, MONACA, PA 150613149 (Tel: 7247752021)

📍
Updated Business Mailing Address March 29, 2012

Registered at 3468 BRODHEAD RD, SUITE ONE, MONACA, PA 150613149 (Tel: 7247752021)

👤
Provider Name / Credentials Updated March 29, 2012

Recorded as THOMAS BALITSKI, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2012

Optometrist (License #OEG000676 in PA)

🟢
Initial NPI Registration & Enumeration July 08, 2005

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: 1003814559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: June 05, 2023
Sole Proprietor: No

Mailing Address

400 Locust Ave Ste 2

Washington, PA 153013397

Phone: 7242281028

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.