Richard A Balter, MD - Medicare Internal Medicine in Commack, NY

Richard A Balter, MD is a medicare enrolled "Internal Medicine" physician in Commack, New York. He went to New York University School Of Medicine and graduated in 1978 and has 47 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Good Shepherd Hospice and his current practice location is 500 Commack Rd Unit 160, Commack, New York. You can reach out to his office (for appointments etc.) via phone at (631) 855-1200.

Richard A Balter is licensed to practice in New York (license number 139759) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689766537.

Contact Information

Richard A Balter, MD
500 Commack Rd Unit 160,
Commack, NY 11725-5009
(631) 855-1200
(631) 630-6297

Map and Direction




Physician's Profile

Full NameRichard A Balter
GenderMale
SpecialityInternal Medicine
Experience47 Years
Location500 Commack Rd Unit 160, Commack, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard A Balter attended and graduated from New York University School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1689766537
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 10/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830298728
  • Enrollment ID: I20070618000332

Medical Identifiers

Medical identifiers for Richard A Balter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689766537NPI-NPPES
00699683MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 139759 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles HospitalPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Shepherd Hospice17592818439

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard A Balter allows following entities to bill medicare on his behalf.
Entity NameGood Samaritan Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518901180
PECOS PAC ID: 5294639951
Enrollment ID: O20031124000491
Entity NameGood Shepherd Hospice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992131635
PECOS PAC ID: 1759281843
Enrollment ID: O20160120002079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard A Balter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard A Balter, MD
500 Commack Rd Unit 160,
Commack, NY 11725-5009

Ph: (631) 855-1200
Richard A Balter, MD
500 Commack Rd Unit 160,
Commack, NY 11725-5009

Ph: (631) 855-1200

Reviews and Comments


Internal Medicine Doctors in Commack, NY

Elizabeth Adele Sturm, M.D.
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Phone: 631-715-2262    
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Dr. Saadat Ul Aleem, M.D./PH.D.
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Phone: 934-223-7123    Fax: 934-223-7118
Asmita Satapathy, M.D
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Janice Shen,
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Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 631-623-4258    
Steven M Sugarman, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 650 Commack Rd, Commack, NY 11725
Phone: 646-227-3813    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.