Medicare Enrolled

Dr. John Balmer, D.O.

Family Medicine · Spartansburg, PA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
132 MECHANIC ST, Spartansburg, PA 16434
8146547334
In practice since 2006 (19 years)
NPI: 1104912476 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Balmer from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Balmer

Dr. John Balmer is a family medicine specialist in Spartansburg, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Balmer performed 302 Medicare services across 179 unique beneficiaries.

Between the years covered by Open Payments, Dr. Balmer received a total of $14,577 from 53 pharmaceutical and/or device companies across 728 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Balmer is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 302 Medicare services $14,577 industry payments

Medicare Practice Summary

Medicare Utilization ↗
302
Medicare services
Bottom 33% in PA for family medicine
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
179
Unique beneficiaries
$58
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~16 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
148 $60 $140
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
62 $97 $210
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
40 $3 $10
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
38 $61 $150
Routine 12-lead electrocardiogram (ECG)
A test that records the electrical activity of the heart using at least 12 leads to produce a tracing.
14 $3 $20
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$14,577
Total received (2018-2024)
Avg $2,082/year across 7 years
Top 3% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
728
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,414 (98.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$164 (1.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,441
2023
$2,429
2022
$2,528
2021
$2,260
2020
$1,090
2019
$1,860
2018
$1,970

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novo Nordisk Inc
$597
AstraZeneca Pharmaceuticals LP
$348
PFIZER INC.
$307
GlaxoSmithKline, LLC.
$210
Indivior Inc.
$146
ABBVIE INC.
$133
Madrigal Pharmaceuticals
$108
Exact Sciences Corporation
$107
Otsuka America Pharmaceutical, Inc.
$93
Bayer Healthcare Pharmaceuticals Inc.
$90
E.R. Squibb & Sons, L.L.C.
$45
Lilly USA, LLC
$43
Amgen Inc.
$40
Merck Sharp & Dohme LLC
$37
Xeris Pharmaceuticals, Inc.
$37
Philips North America LLC
$33
Mylan Specialty L.P.
$31
Takeda Pharmaceuticals U.S.A., Inc.
$20
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
Top 3 companies account for 51.3% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$2,204
PFIZER INC.
$1,945
Novo Nordisk Inc
$1,788
AstraZeneca Pharmaceuticals LP
$1,206
Lilly USA, LLC
$967
Amgen Inc.
$508
Indivior Inc.
$487
Biohaven Pharmaceuticals, Inc.
$439
Takeda Pharmaceuticals U.S.A., Inc.
$390
ITI, Inc.
$349
AbbVie Inc.
$328
ABBVIE INC.
$258
Exact Sciences Corporation
$256
Collegium Pharmaceutical, Inc.
$249
Novartis Pharmaceuticals Corporation
$241
Merck Sharp & Dohme Corporation
$225
Grifols USA, LLC
$225
E.R. Squibb & Sons, L.L.C.
$210
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$205
Biohaven Pharmaceutical Holding Company Ltd.
$194
Philips Electronics North America Corporation
$168
Bayer HealthCare Pharmaceuticals Inc.
$146
Bayer Healthcare Pharmaceuticals Inc.
$143
Boehringer Ingelheim Pharmaceuticals, Inc.
$143
Merck Sharp & Dohme LLC
$127
Astellas Pharma US Inc
$112
Madrigal Pharmaceuticals
$108
Teva Pharmaceuticals USA, Inc.
$101
Otsuka America Pharmaceutical, Inc.
$93
Allergan Inc.
$86
Mylan Specialty L.P.
$79
Amarin Pharma Inc.
$67
Janssen Pharmaceuticals, Inc
$52
Daiichi Sankyo Inc.
$45
Eisai Inc.
$43
Almatica Pharma LLC
$41
US WorldMeds, LLC
$39
Celgene Corporation
$37
Xeris Pharmaceuticals, Inc.
$37
Philips North America LLC
$33
Allergan, Inc.
$25
RedHill Biopharma Inc.
$24
Gilead Sciences, Inc.
$17
Actelion Pharmaceuticals US, Inc.
$17
Ironshore Pharmaceuticals Inc.
$16
Shire North American Group Inc
$16
Kowa Pharmaceuticals America, Inc.
$15
Medtronic, Inc.
$13
PROTEGA PHARMACEUTIALS LLC
$13
AbbVie, Inc.
$13
Sunovion Pharmaceuticals Inc.
$12
SI-BONE, Inc.
$12
Upsher-Smith Laboratories LLC
$11
Top 3 companies account for 40.7% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · (AK6) Vest Therapy · ADVAIR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AREXVY · Aemcolo · Aimovig · AirDuo Digihaler · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · Belbuca · CAMZYOS · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · Cologuard Collection Kit · Creon · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · FARXIGA · GARDASIL · GARDASIL 9 · GLASSIA · GRALISE · INPEN SMART INSULIN DELIVERY SYSTEM · JANUVIA · JARDIANCE · Jornay PM 20mg capsules (Bottle of 100) · KEVEYIS · Kerendia · LATUDA · LINZESS · LOREEV XR · LYRICA · Livalo · Lucemyra/Lofexidine · MOUNJARO · MOVANTIK · MYRBETRIQ · Morphabond ER · Movantik · NURTEC ODT · OPSUMIT · Otezla · Ozempic · PAXLOVID · PREMARIN · Prolastin-C · Prolastin-C Liquid · QULIPTA · RELISTOR · RELISTOR ORAL · RESMETIROM · REXULTI · REYVOW · REZDIFFRA · ROTATEQ · RYBELSUS · Repatha · Roxybond · Rybelsus · SHINGRIX · STEGLATRO · STIOLTO RESPIMAT · SUBLOCADE · SYMBICORT · SYNJARDY · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tresiba · Trintellix · UBRELVY · VIBERZI · VIIBRYD · VRAYLAR · VYVANSE · Vascepa · Vemlidy · Victoza · Wegovy · XARELTO · XIFAXAN · XTAMPZA · XTAMPZAER · YUPELRI · Yupelri · ZEPBOUND · iFuse Implant
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (99%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 3% for family medicine in PA.

Looking for a family medicine specialist in Spartansburg?
Compare family medicine physicians in the Spartansburg area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
36
Per 100K population
43.3
County median income
$60,254
Nearest hospital
LECOM HEALTH CORRY MEMORIAL HOSPITAL
8.3 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Balmer is a mixed practice specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 3% of PA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Balmer experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Balmer performed 148 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Balmer receive payments from pharmaceutical companies?
Yes. Dr. Balmer received a total of $14,577 from 53 companies across 728 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Balmer's costs compare to other family medicine physicians in Spartansburg?
Dr. Balmer's average Medicare payment per service is $58. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Balmer) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →