Quick answers
- Does Justin C. Balavram accept Medicare assignment?
- Yes. Medicare's clinician data says Justin C. Balavram 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 Justin C. Balavram see?
- In 2024, CMS data shows 130 Original Medicare patients and 6,283 services for Justin C. Balavram. This counts Original Medicare only and measures volume, not quality.
- What is Justin C. Balavram's NPI number?
- 1609325190. 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 Justin C. Balavram, 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 | 130 |
|---|---|
| Services billed to Medicare | 6,283 |
| Different services or procedures | 10 |
| Participating Medicare provider | Yes |
| Average age of these patients | 76 |
Most frequent services
- Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (97110)4,534 services
- Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (G0283)801 services
- Therapy procedure using manual technique, each 15 minutes (97140)616 services
- Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (97112)212 services
- Evaluation for physical therapy, typically 30 minutes (97162)75 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%
- Arthritis75%
- Ischemic heart disease39%
- Diabetes34%
- Osteoporosis26%
Practice locations
Addresses where Justin C. Balavram is enrolled with Medicare (CMS data updated October 2, 2026).
- 67 S Main StPearl River, NY 10965 (845) 368‑0800
Group practices
Medicare enrollment lists Justin C. Balavram as a member of this group (CMS data updated October 2, 2026).
- Gramercy Medical Pain Management PA2 clinicians in the group
Specialties
Find other clinicians: Physical Therapist in Private Practice, New York →
Other physical therapists in Pearl River
Clinicians with the same Medicare primary specialty in Pearl River, NY — not a recommendation.
Other clinicians in Gramercy Medical Pain Management PA
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | PT |
|---|---|
| School | State University Of New York At Buffalo School Of Medicine |
| Graduation year | 2016 |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1609325190 |
| 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
- 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