Active NPI 1063407716 Individual Practitioner Male Practitioner

Dr. Peter A Balousek , MD

Neurological Surgery • Renton, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Peter Balousek, MD is a certified Neurological Surgery practicing in Renton, WA. With approximately 36 years of clinical experience since graduating from University Of Michigan Medical School in 1990, Dr. Balousek delivers high-quality medical care to the local community at 4033 TALBOT RD S.

Dr. Balousek is affiliated with Valley Medical Group-Renton and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

4033 Talbot Rd S
Ste 520

Renton, WA 980555772

Telephone 4256903586

Fax 4256909586

Associated Practice Facility / Clinic

🏢 Public Hospital District #1 Of King County Facility NPI 1730135088

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Renton, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Renton, WA (239 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balousek (36 Years) 36 Yrs

Renton Specialty Average (25.0 Years) 25.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	40	$268.40	$131.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$408.82	$181.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$189.00	$95.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$99.00	$53.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$346.00	$135.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	12	$278.00	$132.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$278.00	$116.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	36	$189.00	$96.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$99.00	$41.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$346.00	$144.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$278.00	$143.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	57	$189.00	$101.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$278.00	$120.76
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$189.00	$73.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	12	$278.00	$145.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$424.00	$177.34
61800 Computer-assisted radiosurgery application of headframe	11	11	$379.00	$164.28
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	11	11	$2510.00	$1112.05

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	40	40	$424.00	$182.33
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$189.00	$84.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$278.00	$121.25
61800 Computer-assisted radiosurgery application of headframe	22	22	$379.00	$166.13
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	22	22	$2510.00	$1112.74
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$189.00	$55.98
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$254.00	$111.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$189.00	$81.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	23	$278.00	$119.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$424.00	$169.98
61800 Computer-assisted radiosurgery application of headframe	28	28	$379.00	$169.69
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	28	28	$2510.00	$1123.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$424.00	$138.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$278.00	$118.65
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$189.00	$54.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$346.00	$139.13
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$254.00	$108.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$189.00	$77.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	30	$278.00	$116.39
61800 Computer-assisted radiosurgery application of headframe	35	35	$379.00	$167.49
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	34	34	$2510.00	$1103.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$424.00	$171.90
99213 Established patient office or other outpatient visit, typically 15 minutes	26	16	$189.00	$54.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$527.00	$178.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$424.00	$136.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$346.00	$144.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$278.00	$110.24

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	50	38	$278.00	$111.66
99213 Established patient office or other outpatient visit, typically 15 minutes	44	33	$189.00	$78.46
61796 Computer-assisted radiosurgery of simple growth of brain, first growth	39	39	$2510.00	$1059.84
61800 Computer-assisted radiosurgery application of headframe	38	37	$379.00	$160.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$346.00	$142.53
99213 Established patient office or other outpatient visit, typically 15 minutes	23	14	$189.00	$52.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$424.00	$174.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$424.00	$135.04

Medical Specialties & State Licenses

CMS Verified: 2021-08-18

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License WA MD00035044

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1001438 (WA)

Hospital & Practice Group Affiliations

Valley Medical Group-Renton

4033 Talbot Rd S, Renton, WA 980555774

Phone: 42565655662

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Ryan Salinas , MD

Neurological Surgery

NPI 1144660390

Doctor of Medicine (M.D.)

Lama Alameddine , PSY

Psychologist - Cognitive & Behavioral

NPI 1336695873

Dr. Alexey Shikuev , MD

Psychiatry & Neurology - Neurology

NPI 1609309541

Doctor of Medicine (M.D.)

Alisha Nabours , PA-C

Physician Assistant

NPI 1912798471

Physician Assistant (Certified)

Dr. Craig Brooker , MD

Psychiatry & Neurology - Neurology

NPI 1992971667

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 18, 2021

Registered at 3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 980574970 (Tel: 4256902715)

✅

NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 25, 2012

Registered at 4033 TALBOT RD S, STE 520, RENTON, WA 980555772 (Tel: 4259176209)

📍

Updated Business Mailing Address September 25, 2012

Registered at PO BOX 34876, SEATTLE, WA 981241876 (Tel: 4256565412)

👤

Provider Name / Credentials Updated September 25, 2012

Recorded as PETER BALOUSEK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Neurological Surgery (License #MD00035044 in WA)

🟢

Initial NPI Registration & Enumeration September 19, 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: 1063407716

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: August 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3600 Lind Ave Sw, Suite 100 Attn Credentialing

Renton, WA 980574970

Phone: 4256902715

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.