Doctor profile · Federal record
Dr. Sumanth Balguri, MD, FAAFP
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Family Medicine Physician · Fort Smith, AR
- NPI 1598077679
- Accepts Medicare
- 19 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
7301 Rogers Ave
Fort Smith, AR 729034100
(479) 314-6030
fax (479) 314-2021 - Additional location
-
1000 S Waldron RD
Fort Smith, AR 729032550
(479) 221-9922
fax (479) 221-9988
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- July 10, 2023
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (3)
- Arkansas #E-8115 · New York #288945 · Oklahoma #27769
- Medicaid
- AR #198945001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598077679. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
389
Distinct HCPCS
9
Medicare allowed
$35,101
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 154 | 102 | $99 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 58 | 46 | $67 | |
36415 |
Insertion of needle into vein for collection of blood sample | 52 | 41 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $125 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 26 | 26 | $157 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $152 | |
G0008 |
Administration of influenza virus vaccine | 18 | 18 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 12 | 12 | $72 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 12 | 12 | $187 |
In context: peer comparison
Among 25 peers in Fort Smith Family Medicine Physician, average services per provider: 125. This provider delivers 3.1× the peer median.Open Payments
Industry payments received
All-time total
$60
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 2 | $28.49 | |
| Novo Nordisk INC | 1 | $16.15 | |
| Exact Sciences Corporation | 1 | $15.48 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,740
Patients
680
Total drug cost
$104,274
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 282 | 110 | $3,840 |
| Levothyroxine Sodium | Generic | 246 | 72 | $4,531 |
| Amlodipine Besylate | Generic | 208 | 87 | $1,614 |
| Omeprazole | Generic | 120 | 53 | $1,836 |
| Pantoprazole Sodium | Generic | 113 | 52 | $2,304 |
| Metoprolol Succinate | Generic | 106 | 38 | $2,366 |
| Lisinopril | Generic | 98 | 43 | $981 |
| Tamsulosin Hcl | Generic | 87 | 37 | $2,373 |
| Metformin Hcl | Generic | 83 | 38 | $818 |
| Eliquis (Apixaban) | Brand | 80 | 19 | $78,663 |
Hospital affiliations
Frequently asked questions
What is Dr. Sumanth Balguri's medical specialty?
Dr. Sumanth Balguri practices Family Medicine Physician in Fort Smith, AR.
Where does Dr. Sumanth Balguri practice?
Dr. Sumanth Balguri practices at 7301 Rogers Ave, Fort Smith, AR 729034100. Office phone: 4793146030.
What is Dr. Sumanth Balguri's NPI?
Dr. Sumanth Balguri's National Provider Identifier (NPI) is 1598077679, issued by NPPES.
Does Dr. Sumanth Balguri accept Medicare assignment?
Yes. Dr. Sumanth Balguri accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sumanth Balguri commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.