Cearie Balkcom , ARNP
Nurse Practitioner โข Gainesville, FL
6500 W Newberry Rd
Gainesville, FL 326054309
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 22, 2018; this date does not establish years in practice.
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Published CMS data list 1,240 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 418 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 334 service units.
- 99308 โ Subsequent nursing facility care with straightforward level of medical decision making, per day: 138 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,466 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Eliquis (Apixaban) โ 152 prescription fills, including refills.
- Metoprolol Succinate โ 138 prescription fills, including refills.
- Carvedilol โ 101 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 30 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Gainesville, FL (2024, 83 clinicians with data). Median for this group: 142. Middle half: 49 to 379.
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,266 in 2021 to 1,240 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
6500 W Newberry Rd
Gainesville, FL 326054309
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Gainesville, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
403 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $100,877 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $77,361 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,822 standardized 30-day fills in 2021
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$222,692 in 2021
The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2021.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $121.18 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Cearie Balkcom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Cearie Balkcom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Gainesville, FL (2024, 83 clinicians with data). Median for this group: 142. Middle half: 49 to 379.
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: 281. Middle half: 98 to 758.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Gainesville, FL (2024, 83 clinicians with data). Median for this group: $12,065. Middle half: $2,955 to $29,769.
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $22,890. Middle half: $8,465 to $56,388.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Gainesville, FL (2024, 83 clinicians with data). Median for this group: $8,495. Middle half: $2,270 to $21,717.
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Florida (2024, 3,093 clinicians with data). Median for this group: $17,374. Middle half: $6,293 to $42,181.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Cearie Balkcom are from 2021.
315 active clinicians are listed under Nurse Practitioner with a practice address in Gainesville, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gainesville
9.5% of these 315 clinicians have the CMS telehealth indicator.
41% of these 315 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 1,266 in 2021 and 1,240 in 2024.
- 2021: 1,266
- 2022: 1,173
- 2023: 1,221
- 2024: 1,240
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Medicare-allowed amount
Medicare-allowed amount increased 40% from $72,021 in 2021 to $100,877 in 2024.
- 2021: $72,021
- 2022: $64,414
- 2023: $87,183
- 2024: $100,877
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Paid by Medicare
Paid by Medicare increased 35% from $57,388 in 2021 to $77,361 in 2024.
- 2021: $57,388
- 2022: $49,749
- 2023: $67,938
- 2024: $77,361
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 294% from 372 in 2018 to 1,466 in 2021.
- 2018: 372
- 2019: 1,465
- 2020: 2,188
- 2021: 1,466
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30-day fills
30-day fills increased 287% from 730 in 2018 to 2,822 in 2021.
- 2018: 730
- 2019: 2,785
- 2020: 4,260
- 2021: 2,822
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Part D drug cost
Part D drug cost increased 858% from $23,235 in 2018 to $222,692 in 2021.
- 2018: $23,235
- 2019: $161,340
- 2020: $300,265
- 2021: $222,692
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $406.83 in 2021 to $121.18 in 2023.
- 2021: $406.83
- 2022: $225.39
- 2023: $121.18
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $121.18.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stability Biologics, LLC |
Food and Beverage
Cash or cash equivalent
|
โ | General | $121.18 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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418 | 115 | $237.02 | $89.13 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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334 | 129 | $237.02 | $89.13 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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138 | 81 | $184.62 | $61.27 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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123 | 51 | $184.62 | $61.28 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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53 | 53 | $323.48 | $110.44 |
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99304
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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49 | 49 | $205.86 | $66.51 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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43 | 16 | $279.50 | $50.94 |
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11042
Removal of skin and tissue, 20.0 sq cm or less
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25 | 12 | $279.50 | $105.98 |
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99307
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
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24 | 22 | $136.55 | $32.90 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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21 | 21 | $323.48 | $110.31 |
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99304
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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12 | 12 | $205.86 | $66.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Eliquis | Apixaban | 152 | 6,525 | $112,986.69 | 38 |
| Metoprolol Succinate | Metoprolol Succinate | 138 | 8,615 | $2,960.60 | 46 |
| Carvedilol | Carvedilol | 101 | 5,250 | $925.60 | 32 |
| Atorvastatin Calcium | Atorvastatin Calcium | 99 | 7,680 | $1,191.39 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 94 | 5,503 | $502.53 | 34 |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 78 | 4,140 | $4,406.85 | 22 |
| Lisinopril | Lisinopril | 73 | 5,190 | $271.31 | 31 |
| Flecainide Acetate | Flecainide Acetate | 69 | 3,690 | $4,335.61 | 18 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 69 | 5,220 | $1,183.72 | 25 |
| Entresto | Sacubitril/Valsartan | 55 | 2,010 | $41,376.89 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 53 | 3,884 | $476.98 | 22 |
| Furosemide | Furosemide | 39 | 2,384 | $152.68 | 17 |
| Chlorthalidone | Chlorthalidone | 38 | 1,980 | $828.02 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 37 | 2,430 | $302.62 | 12 |
| Ezetimibe | Ezetimibe | 37 | 2,310 | $1,448.68 | โ |
| Doxazosin Mesylate | Doxazosin Mesylate | 34 | 2,190 | $640.37 | โ |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 33 | 2,084 | $678.90 | 14 |
| Amiodarone Hcl | Amiodarone Hcl | 33 | 1,413 | $556.67 | 11 |
| Losartan Potassium | Losartan Potassium | 31 | 2,310 | $246.28 | 13 |
| Nifedipine Er | Nifedipine | 29 | 1,170 | $1,565.73 | โ |
| Hydralazine Hcl | Hydralazine Hcl | 29 | 1,152 | $393.12 | โ |
| Xarelto | Rivaroxaban | 23 | 1,590 | $27,002.85 | โ |
| Cartia Xt | Diltiazem Hcl | 21 | 810 | $571.82 | โ |
| Vascepa | Icosapent Ethyl | 21 | 630 | $7,692.22 | โ |
| Cilostazol | Cilostazol | 16 | 960 | $1,052.27 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-03-09NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LF0000X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190123004019
FL
9830436286
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
4645 Nw 8th Ave
Gainesville, FL 326054524
Phone: 3523751212
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Acute Care
Doctor of Nursing Practice, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified), CWS
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Nurse Practitioner - Primary Care
Nurse Practitioner - Family
Family Nurse Practitioner
Nurse Practitioner - Family
Advanced Practice Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 6500 W NEWBERRY RD, GAINESVILLE, FL 326054309 (Tel: 8446736968)
Registered at 3005 AMBROSE AVE, NASHVILLE, TN 372074709 (Tel: 8446736968)
Nurse Practitioner (license number reported to NPPES: FL ARNP9249767)
NPI status registered as active in NPPES database
Registered at 4645 NW 8TH AVE, GAINESVILLE, FL 326054524 (Tel: 3523751212)
Registered at 4440 NW 49TH ST APT 101, GAINESVILLE, FL 326067659
Recorded as CEARIE BALKCOM, ARNP
Nurse Practitioner (license number reported to NPPES: FL ARNP9249767)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Gainesville
- Sandra Tierney Kamhoot, APRN
- Christian Guzman
- Rachel Rodriguez, FNP
- Gina Killian, APRN
- Christine Corbeil, APRN
- Hyehwan Yang, AGPCNP-BC
Mailing Address
3005 Ambrose Ave
Nashville, TN 372074709
Phone: 8446736968