JOHN R. BALFE PA-C
NPI 1578508768
Physician Assistant in Poughkeepsie, NY
NPI Status: Active since June 19, 2006
Contact Information
241 NORTH RD
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 431-8220
Fax: (845) 485-3730
- Individual
- Male
- Physician Assistant
- Medicare Quality Reporting
About JOHN BALFE
This page provides the complete NPI Profile along with additional information for John Balfe, a primary care provider established in Poughkeepsie, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1578508768 assigned on June 2006. The practitioner's primary taxonomy code is 363A00000X with license number 23-000953 (NY). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1578508768
- Provider Name
- JOHN R. BALFE PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 241 NORTH RD POUGHKEEPSIE, NY 12601
- Location Phone
- (845) 431-8220
- Location Fax
- (845) 485-3730
- Mailing Address
- 307 S EVERGREEN AVE WOODBURY, NJ 08096
- Mailing Phone
- (856) 686-4300
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-19-2006
- Last Update Date
- 04-18-2008
- Code Navigator
A primary care provider (PCP) like John Balfe sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 23-000953
- License State
- NY
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01859250 | MEDICAID (05) | NY | |
| S56336 | MEDICARE UPIN (02) | ||
| P00195651 | MEDICARE PIN (08) | NY | |
| 5603L | MEDICARE ID-TYPE UNSPECIFIED (04) | NY |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 0 | 8 | 7 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 0 | 16 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 0 + 1 + 6 + 7 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1578508768 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396715090 | ZHIFU WANG M.D. Individual | Hospitalist | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8135 |
| 1275507154 | MR. GARY DAVID GROSSMAN MD Individual | Radiology (Vascular & Interventional Radiology) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 471-5519 |
| 1992779870 | MR. CHARLES STEVEN GREENE MD Individual | Radiology (Diagnostic Radiology) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-5253 |
| 1881668945 | MR. AHMAD PARVIN MD Individual | Radiology (Diagnostic Radiology) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-5253 |
| 1043260938 | SADAF R AHSAN M.D. Individual | Psychiatry & Neurology (Neurology) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-8743 |
| 1659321149 | MRS. JUDY SHISHMANIAN MS, RD, CDE Individual | Dietitian, Registered | 241 NORTH RD ST. FRANCIS HOSPITAL POUGHKEEPSIE, NY 12601 (845) 483-5188 |
| 1497708671 | MARK J CERBONE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-5000 |
| 1326094137 | RADIOLOGY ASSOCIATES OF POUGHKEEPSIE PLLC Organization | Specialist | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-5253 |
| 1427004522 | GARY LEWIS NEIFELD MD Individual | Emergency Medicine | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-8220 |
| 1194763615 | JAMES T. RAWLEY PA-C Individual | Physician Assistant | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8220 |
| 1821038100 | ROBERT WEIL STRAUSS MD Individual | Emergency Medicine | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 481-8220 |
| 1477595338 | RICHARD C. TOBEY MD Individual | Emergency Medicine | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8220 |
| 1457393340 | KIMBERLY A. GODFREY DO Individual | Emergency Medicine | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8220 |
| 1063455566 | OLGA M. RODRIGUEZ PA-C Individual | Physician Assistant | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8220 |
| 1285664425 | DAVID O'BRIEN PA-C Individual | Physician Assistant | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8220 |
| 1972684058 | ELIZABETH RUECKERT Individual | Audiologist | 241 NORTH RD ST FRANCIS HOSPITAL / CTR FOR COMMUNICATION DOS POUGHKEEPSIE, NY 12601 (845) 431-8800 |
| 1417011297 | DR. DARRYL DWAYNE SMITH D.O. Individual | Radiology (Diagnostic Radiology) | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 471-5519 |
| 1699832469 | DR. MELANIE MICHELLE MONTEMAYOR MD Individual | Radiology (Diagnostic Radiology) | 241 NORTH RD RADIOLOGY ASSOCIATES OF POUGHKEEPSIE POUGHKEEPSIE, NY 12601 (845) 471-5519 |
| 1972627263 | MS. JEANNEMARIE ROBINSON MS OTR L Individual | Occupational Therapist | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 431-8799 |
| 1225155542 | PATRICIA JOAN BERGMAN OTR Individual | Occupational Therapist | 241 NORTH RD POUGHKEEPSIE, NY 12601 (845) 483-5158 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578508768, enumerated in the NPI registry as an "individual" on June 19, 2006
The provider is located at 241 North Rd Poughkeepsie, Ny 12601 and the phone number is (845) 431-8220
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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