NPPES file of Aug 9, 2026

Anthony H. Balcom, MD

Pediatric Urology Physician · Hales Corners, WI

Anthony H. Balcom, MD is a pediatric urology physician with a practice address in Hales Corners, Wisconsin, and NPI 1487604906, issued on May 12, 2006. Check the license (Wisconsin 26912, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1487604906
Name
Anthony H. Balcom
Credential
MD
Primary taxonomy
Pediatric Urology Physician 2088P0231X
License numbers
26912 WI
V8461 TX
Self-reported in NPPES; status is on the state search
Practice location
5250 S 108TH St, Hales Corners, WI 53130
Phone
(414) 525-2400
Enumerated
May 12, 2006
Record last updated
Jun 26, 2026
Fax
(414) 525-2401
Medicaid ID
1487604906 WI
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 5250 S 108TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Janis Avalos Rios, MA, LPCProfessional Counselor1639563448
  2. Samantha Bartlett, MS, LPCProfessional Counselor1437728862
  3. Brianna BuehlerProfessional Counselor1205543170
  4. Michael Burkhardt, D.M.D.General Practice Dentistry1427401033
  5. Colleen Christiansen, MS, LPCMental Health Counselor1477953057
  6. Victoria DucoffeMental Health Counselor1407628167

Verify Anthony H. Balcom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 26912
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

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93% fewer Medicare Part D claims than the average pediatric urology physician in 2024

19 Medicare Part D claims, against an average of 271 among the 91 providers of this specialty who prescribed in Part D.

  1. Anthony Balcom19
  2. Specialty average271

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Anthony H. Balcom among 13 pediatric urology physician records in Wisconsin

Anthony H. Balcom, MD is one of 13 pediatric urology physician records with a practice address in Wisconsin. 54% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.

  • NPI issued2006 · 0% of these records are older, 77% newer
  • In a Medicare fileYes · 54% of these records are
  • In the CMS Doctors and Clinicians fileNo · 31% of these records are
  • Record last updated2026 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2088P0231X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Urology Physician providers in Wisconsin

There are 13 pediatric urology physician records in Wisconsin.

The 8 pediatric urology physician records with the nearest ZIP codes

  1. Matthew Danzig, MDMilwaukee, WI 532261457739856
  2. Jonathan EllisonMilwaukee, WI 532261861655581
  3. Anas GhoushehMilwaukee, WI 532261679888911
  4. Sophie Ramsay, M.D.Milwaukee, WI 532261194133272
  5. Elizabeth Roth, M.D.Milwaukee, WI 532261982925327
  6. Walid Farhat, MDMadison, WI 537051861052441
  7. Vinaya Bhatia, M.D.Madison, WI 537921538589064
  8. Shannon Cannon, MDMadison, WI 537921558604512

Common questions

What is Anthony H. Balcom, MD's NPI number?

Anthony H. Balcom, MD's National Provider Identifier (NPI) is 1487604906, issued on May 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Anthony H. Balcom, MD located?

The NPPES record lists a practice address at 5250 S 108TH St, Hales Corners, WI, 53130. Phone: (414) 525-2400. Providers update this record themselves, so call before visiting.

How can I verify Anthony H. Balcom, MD's license?

NPPES lists Wisconsin license number 26912, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Anthony H. Balcom, MD prescribe under Medicare Part D?

In 2024, Anthony H. Balcom, MD had 19 Medicare Part D claims; the average among pediatric urology physician prescribers was 271. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.