Doctor profile · Federal record
Dr. Gene Balboa, MD
Internal Medicine Physician (CMS: Internal Medicine) · Darien, CT
- NPI 1841366820
- Accepts Medicare
- MIPS 89.1 / 100 · 2023
- 23 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
40 Heights RD, Suite 201
Darien, CT 068204132
(203) 662-8900
fax (203) 662-8906
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- November 5, 2014
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Connecticut #041637
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841366820. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
869
Distinct HCPCS
4
Medicare allowed
$97,817
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 377 | 193 | $126 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 295 | 126 | $84 | |
99239 |
Hospital discharge day management, more than 30 minutes | 167 | 162 | $121 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 30 | 29 | $183 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 96. This provider delivers 9.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
20
Patients
14
Total drug cost
$245
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 20 | 14 | $245 |
Frequently asked questions
What is Dr. Gene Balboa's medical specialty?
Dr. Gene Balboa practices Internal Medicine Physician in Darien, CT.
Where does Dr. Gene Balboa practice?
Dr. Gene Balboa practices at 40 Heights RD, Darien, CT 068204132. Office phone: 2036628900.
What is Dr. Gene Balboa's NPI?
Dr. Gene Balboa's National Provider Identifier (NPI) is 1841366820, issued by NPPES.
Does Dr. Gene Balboa accept Medicare assignment?
Yes. Dr. Gene Balboa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gene Balboa commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239). Source: CMS Medicare Physician & Other Practitioners file.