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Dr. Thomas A. Balsbaugh, MD
NPI1669457370PAC ID0941361521
- Medicare services, 2017
- 79
- Part D claims, 2024
- 1,293
- Publications
- 6
- Affiliated sites
- 1
- Medical group
- 1
- Practice address
- 7373 West Ln, Stockton, CA 95210
- Practice phone
- Call (209) 476-2000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Permanente Medical Group Inc
Stockton, California
Find Dr. Balsbaugh's professional email, personal email and mobile number
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Dr. Thomas A. Balsbaugh is a family medicine physician in Stockton, California
Dr. Balsbaugh practices at Permanente Medical Group Inc in Stockton, California.
Dr. Balsbaugh's NPI, 1669457370, was assigned on December 14, 2005. Dr. Balsbaugh graduated from Sidney Kimmel Medical College in 1995. Dr. Balsbaugh holds California license A716070.
NPI and contact details
- NPI
- 1669457370NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0941361521
- NPI enumeration date
- December 14, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (209) 476-2000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 57
- Medical school graduation
- 1995
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Thomas A. Balsbaugh practices at Permanente Medical Group Inc in Stockton, California
Dr. Balsbaugh's primary practice is Permanente Medical Group Inc, at 7373 West Ln, Stockton, CA 95210 in San Joaquin County. The practice phone is (209) 476-2000.
- Permanente Medical Group Inc7373 West Ln, Stockton, CA 95210 · San Joaquin CountyPhone(209) 476-2000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Thomas A. Balsbaugh is affiliated with 2 sites of care and 1 medical group
Dr. Balsbaugh's primary practice is Permanente Medical Group Inc in Stockton, California. The medical group on file is The Permanente Medical Group, Inc. Dmand AI also links Dr. Balsbaugh to 1 more group practice or clinic, named with a free account.
Permanente Medical Group IncPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Thomas A. Balsbaugh's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balsbaugh practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Permanente Medical Group Inc | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Thomas A. Balsbaugh is one of 15,680 family medicine physicians in California
Family medicine is Dr. Balsbaugh's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Balsbaugh is board certified in family medicine by the American Board of Family Medicine. Dmand AI has Dr. Balsbaugh's licenses on file in 2 states: California and Pennsylvania.
Specialties and state licenses
- Family medicine, CaliforniaPrimary
- Pennsylvania license
Family medicine physicians near Dr. Balsbaugh
Counts of family medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Thomas A. Balsbaugh billed Medicare for 79 services in 2017
CMS data shows 79 Medicare services from Dr. Balsbaugh across 2 procedure codes in 2017, all of them office visits. Medicare paid $2,059 for them. Every service was in a facility, such as a hospital, rather than an office.
Medicare services, 201779
Paid by Medicare$2,059
Procedure codes2
Dr. Balsbaugh's Medicare services by type, 2016 to 2017
- 2016
- 2017
- Office and hospital visits
- 2016: 5582017: 7986%
- Other services
- 2016: 172017: 0100%
Dr. Balsbaugh compared with the California median for family medicine physicians, 2017
- Dr. Balsbaugh
- California median
- Medicare services
- 79vs 24668% below
- Part D claims
- 908vs 8339% above
Medians across 15,349 family medicine physicians in California with Dmand AI profiles that report each measure.
Dr. Balsbaugh's most billed Medicare procedure codes, 2017
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balsbaugh and other family medicine physicians in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Thomas A. Balsbaugh's patients have a median age of 49
Across all payers, Dmand AI patient panel data puts Dr. Balsbaugh's median patient age at 49, with 56% women.
Dr. Balsbaugh's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 49
Patient panel by sex, all payers
- Women56%
- Men44%
Source: Dmand AI Patient Panel Data
Dr. Thomas A. Balsbaugh wrote 1,293 Medicare Part D claims in 2024
In 2024, Dr. Balsbaugh wrote 1,293 Medicare Part D claims for 176 patients. 93% of them were for generic drugs. CMS names the drug for 908 of them, across 40 drugs with 11 or more claims each, at $14,611 in total drug cost. In 2023, CMS named 1,011 claims across 41 drugs.
Part D claims, 20241,293
Drugs named by CMS40
Total drug cost$14,611
Part D patients176
Dr. Balsbaugh's Part D claims by kind of drug, 2024
- Generic1,203 claims93%
- Brand-name and other90 claims7%
Dr. Balsbaugh's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Balsbaugh's Part D claims, 2024
- Opioids3%43 of 1,293 claims
- Antibiotics2%27 of 1,293 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,0112024: 90810%
Drugs named by CMS: 40 in 2024, 41 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Dr. Thomas A. Balsbaugh takes part in Medicare
Dr. Balsbaugh accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Thomas A. Balsbaugh has 6 publications on record
Dmand AI links 6 papers to Dr. Balsbaugh. The most frequent topics are California, Diabetes Mellitus and Disease Management. Dr. Balsbaugh's most frequent co-authors are James Nuovo, MD, Christopher V. Chambers, MD and Joshua J. Fenton, MD, MPH.
Papers6
Topics Dr. Balsbaugh writes about most
- California
- Diabetes Mellitus
- Disease Management
Dr. Balsbaugh's most frequent co-authors
- James Nuovo, MD5 shared papers
- Christopher V. Chambers, MD1 shared paper
- Joshua J. Fenton, MD, MPH1 shared paper
Recent publications by Dr. Balsbaugh
Education, MedicalPatient CareStudents, Medical
CaliforniaCompetency-Based EducationCurriculum
Curr Diabetes Rev
Delivery of Health CareDiabetes MellitusProfessional-Patient Relations
See who Dr. Balsbaugh researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Balsbaugh works with, so you can find a warm path to the right family medicine physicians.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Thomas A. Balsbaugh has 3 awards and honors on record
Dmand AI lists 3 awards for Dr. Balsbaugh, most recently PCMH Level 3 in 2014.
Awards and honors for Dr. Balsbaugh
- 2014
- PCMH Level 3
- 2012
- CMS Stage 1 EHR
- Undated
- Super Doc
Source: Dmand AI Professional Profile Data
Dr. Thomas A. Balsbaugh graduated from Sidney Kimmel Medical College
Dr. Balsbaugh graduated from Sidney Kimmel Medical College in 1995.
- Medical school
- Board certified in family medicine
Source: Dmand AI Professional Profile Data
Dr. Thomas A. Balsbaugh accepts plans from 4 insurance carriers
Dr. Balsbaugh is in network with 4 carriers, including Kaiser Permanente, Blue Cross Blue Shield of Massachusetts and HCSC. Medicare plans come from the most carriers, 3. Check the plan with the practice before a visit.
- Kaiser Permanente
- Blue Cross Blue Shield of Massachusetts
- HCSC
- CMS Medicare
Plan types Dr. Balsbaugh accepts, by number of carriers
- Medicare3
- PPO2
- EPO1
- HMO1
- POS1
Source: Dmand AI Insurance Network Data
Sources for Dr. Thomas A. Balsbaugh's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Thomas A. Balsbaugh
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Thomas A. Balsbaugh's NPI number?
Dr. Thomas A. Balsbaugh's NPI number is 1669457370. It was assigned on December 14, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Thomas A. Balsbaugh?
Dr. Thomas A. Balsbaugh is a family medicine physician in Stockton, California. The primary specialty in the NPI Registry is Family Medicine Physician (taxonomy code 207Q00000X).
Where does Dr. Thomas A. Balsbaugh practice?
Dr. Balsbaugh practices at 7373 West Ln, Stockton, CA 95210. Dr. Balsbaugh's primary practice is Permanente Medical Group Inc in Stockton, California. Dmand AI also links Dr. Balsbaugh to 1 group practice or clinic.
What is Dr. Thomas A. Balsbaugh's office phone number?
The practice phone on file for Dr. Balsbaugh is (209) 476-2000.
What is Dr. Thomas A. Balsbaugh's medical license number?
Dr. Balsbaugh holds California license A716070, one of the licenses on file in 2 states.
Which states has Dr. Thomas A. Balsbaugh been licensed in?
Dmand AI has state licenses on file for Dr. Balsbaugh in California (2000 to 2027) and Pennsylvania (1996 to 2000).
What medical group is Dr. Thomas A. Balsbaugh part of?
Dr. Balsbaugh is linked to The Permanente Medical Group, Inc.
Does Dr. Thomas A. Balsbaugh accept Medicare?
Yes. CMS data shows Dr. Balsbaugh billed Medicare for 79 services in 2017, and Dr. Balsbaugh accepts Medicare assignment.
Is Dr. Thomas A. Balsbaugh board certified?
Yes. Dr. Balsbaugh is board certified in family medicine by the American Board of Family Medicine.
What services does Dr. Thomas A. Balsbaugh bill to Medicare?
In 2017, Dr. Balsbaugh's most billed Medicare services were office visit, established patient (99214) and office visit, established patient (99213).
Show 6 more questionsShow fewer questions
Where did Dr. Thomas A. Balsbaugh go to medical school?
Dr. Balsbaugh graduated from Sidney Kimmel Medical College in 1995.
What drugs does Dr. Thomas A. Balsbaugh prescribe most?
In 2024 Medicare Part D data, Dr. Balsbaugh's most prescribed drugs by claims were Atorvastatin Calcium, Amlodipine Besylate and Lisinopril-Hydrochlorothiazide.
How long has Dr. Thomas A. Balsbaugh been practicing?
Dr. Balsbaugh graduated from medical school in 1995, 31 years ago.
Does Dr. Thomas A. Balsbaugh do research?
Dmand AI links 6 publications to Dr. Balsbaugh.
Who does Dr. Thomas A. Balsbaugh publish with?
Dr. Balsbaugh's most frequent co-authors are James Nuovo, MD (5 shared papers), Christopher V. Chambers, MD (1 shared paper) and Joshua J. Fenton, MD, MPH (1 shared paper).
What insurance does Dr. Thomas A. Balsbaugh accept?
Dr. Balsbaugh is in network with 4 carriers, including Kaiser Permanente, Blue Cross Blue Shield of Massachusetts and HCSC. Medicare plans come from the most carriers, 3. Check the plan with the practice before a visit.
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