Dr. James C. Balserak
- Gender: Male
- Experience: 31 years
- Graduated from: Virginia Commonwealth University, School Of Medicine
- Graduation year: 1990
- Sole propriator: No
- NPI: 1013952464
Dr. James C. Balserak MD
Surgeon
He is located at 5301 East Grant Road in Tucson, AZ 85712. Can help patients with the following: Colon Cancer, Diverticulosis, Gallstones, Hemorrhoids, Peptic Ulcer, Pilonidal Cyst. His National Provider Identifier (NPI) number is 1013952464. Appointment can be made via the phone number (520) 324-5461. He is affiliated with 2 practices and 3 hospitals.
Conditions treated
Dr. James C. Balserak, being an surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. James C. Balserak.
- Achalasia
- Anal Fissure
- Appendicitis
- Boils
- Cancer
- Colon Cancer
- Crohn's Disease
- Cyst
- Diverticulosis
- Enlarged Spleen
- Esophageal Cancer
- Gallstones
- Gangrene
- Heart Disease
- Hemorrhoids
- Hernia
- Inflammatory Bowel Disease (IBD)
- Lymphedema
- Pancreatitis
- Peptic Ulcer
- Pilonidal Cyst
- Sebaceous Cyst
- Ulcerative Colitis
Procedures Performed by Dr. James C. Balserak
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. James C. Balserak as in-network for the following 2026 plans.
Health plans
Antidote Health Plan of Arizona, Inc.
Network data as of Nov 13, 2025, as reported by the insurer.
Show all 16 plans from Antidote Health Plan of Arizona, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Standard | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Catastrophic Standard | HMO · Catastrophic | Tierone | Not accepting new patients |
| Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Standard | HMO · Gold | Tierone | Not accepting new patients |
| Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Standard | HMO · Silver | Tierone | Not accepting new patients |
Blue Cross Blue Shield of Arizona
Network data as of Jun 29, 2026, as reported by the insurer.
Show all 20 plans from Blue Cross Blue Shield of Arizona
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) (5 plan variants) | HMO · Expanded Bronze | Focus | Accepting new patients |
| AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) (7 plan variants) | HMO · Expanded Bronze | Neighborhood | Accepting new patients |
| AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) (5 plan variants) | HMO · Gold | Focus | Accepting new patients |
| AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) (7 plan variants) | HMO · Gold | Neighborhood | Accepting new patients |
| AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) (5 plan variants) | HMO · Silver | Focus | Accepting new patients |
| AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) (7 plan variants) | HMO · Silver | Neighborhood | Accepting new patients |
| AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) (3 plan variants) | HMO · Gold | Focus | Accepting new patients |
| AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) (7 plan variants) | HMO · Gold | Neighborhood | Accepting new patients |
| AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits) (2 plan variants) | HMO · Gold | Focus Prosano | Accepting new patients |
| AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits) (2 plan variants) | HMO · Silver | Focus Prosano | Accepting new patients |
| AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) (3 plan variants) | HMO · Silver | Focus | Accepting new patients |
| AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) (7 plan variants) | HMO · Silver | Neighborhood | Accepting new patients |
| AZ Blue Portfolio Bronze HSA Focus (5 plan variants) | HMO · Expanded Bronze | Focus | Accepting new patients |
| AZ Blue Portfolio Bronze HSA Neighborhood (7 plan variants) | HMO · Expanded Bronze | Neighborhood | Accepting new patients |
| AZ Blue StandardHealth Bronze Focus (5 plan variants) | HMO · Expanded Bronze | Focus | Accepting new patients |
| AZ Blue StandardHealth Bronze Neighborhood (7 plan variants) | HMO · Expanded Bronze | Neighborhood | Accepting new patients |
| AZ Blue StandardHealth Gold Focus (5 plan variants) | HMO · Gold | Focus | Accepting new patients |
| AZ Blue StandardHealth Gold Neighborhood (7 plan variants) | HMO · Gold | Neighborhood | Accepting new patients |
| AZ Blue StandardHealth Silver Focus (5 plan variants) | HMO · Silver | Focus | Accepting new patients |
| AZ Blue StandardHealth Silver Neighborhood (7 plan variants) | HMO · Silver | Neighborhood | Accepting new patients |
Cigna HealthCare of Arizona, Inc
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Cigna HealthCare of Arizona, Inc
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Connect Bronze 7400 Indiv Med Deductible | HMO · Bronze | Preferred | Accepting new patients |
| Connect Bronze 9500 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze CMS Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze SoAZ 4000 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze SoAZ 6300 Indiv Med Deductible | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Bronze SoAZ CMS Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Connect Gold 2500 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold CMS Standard | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold SoAZ 2500 Indiv Med Deductible | HMO · Gold | Preferred | Accepting new patients |
| Connect Gold SoAZ CMS Standard | HMO · Gold | Preferred | Accepting new patients |
| Connect Silver 4000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver 6100 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver CMS Standard | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver SoAZ 4000 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver SoAZ 6200 Indiv Med Deductible | HMO · Silver | Preferred | Accepting new patients |
| Connect Silver SoAZ CMS Standard | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. James C. Balserak is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. James C. Balserak is enrolled to bill Medicare as a Practitioner - General Surgery .
Bills through: Tmc Medical Network
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Tandem Diabetes Care | $62 |
| Medtronic | $24 |
| Merck | $23 |
Other
| Food and Beverage | $133 |
Studies
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated in 1990
Affiliated hospitals
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Questions & Answers
What conditions does Dr. James C. Balserak treat?
Dr. James C. Balserak provides treatment for Colon Cancer, Diverticulosis, Gallstones, Hemorrhoids, Peptic Ulcer, Pilonidal Cyst. For the full list see this list.
Where can you meet with Dr. James C. Balserak?
Dr. James C. Balserak's office is located at 5301 East Grant Road in Tucson, AZ 85712.
Does Dr. James C. Balserak accept patients with Cigna HealthCare of Arizona, Inc?
Yes, Dr. James C. Balserak is listed in-network for Cigna HealthCare of Arizona, Inc through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Has Dr. James C. Balserak affiliation with hospitals?
Dr. James C. Balserak is affiliated with NORTHWEST MEDICAL CENTER. For the full list of hospitals see this list.
Does Dr. James C. Balserak have affiliation with practices?
Dr. James C. Balserak is affiliated with Richard N Hess MD FACS PC. For the full list of practices see this list.