Quick answers
- Does Andrew J. Balsys accept Medicare assignment?
- Yes. Medicare's clinician data says Andrew J. Balsys accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Andrew J. Balsys see?
- In 2024, CMS data shows 34 Original Medicare patients and 39 services for Andrew J. Balsys. This counts Original Medicare only and measures volume, not quality.
- What is Andrew J. Balsys's NPI number?
- 1255767646. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Andrew J. Balsys, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 34 |
|---|---|
| Services billed to Medicare | 39 |
| Different services or procedures | 8 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)11 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Ischemic heart disease74%
- Atrial fibrillation68%
- Chronic kidney disease56%
- Stroke or mini-stroke56%
Hospitals where Andrew J. Balsys works
Medicare's Facility Affiliation Data lists Andrew J. Balsys at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Centrastate Medical CenterFreehold, NJ · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 310111
- Jersey Shore University Medical CenterNeptune, NJ · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 310073
Practice locations
Addresses where Andrew J. Balsys is enrolled with Medicare (CMS data updated October 2, 2026).
- 1945 State Hwy 33Neptune, NJ 07753 (732) 362‑3663
- 901 W Main St, Suite 160Freehold, NJ 07728 (732) 577‑0600
Group practices
Medicare enrollment lists Andrew J. Balsys as a member of these groups (CMS data updated October 2, 2026).
- Hackensack Meridian Health Medical Group - Specialty Care PC1,922 clinicians in the group
- Practice Associates Medical Group1,408 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Neptune
Clinicians with the same Medicare primary specialty in Neptune, NJ — not a recommendation.
Other clinicians in Hackensack Meridian Health Medical Group - Specialty Care PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2013 |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1255767646 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians