Doctor profile · Federal record
Dr. Eduardo Balbona, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Jacksonville, FL
- NPI 1073506168
- MIPS 84.2 / 100 · 2023
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2257 Oak St
Jacksonville, FL 32204
(904) 388-9202
fax (904) 388-9191
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- July 20, 2016
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Florida #ME61191
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073506168. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,923
Distinct HCPCS
8
Medicare allowed
$249,078
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 1,243 | 494 | $124 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 346 | 174 | $176 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 90 | 69 | $89 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 67 | 65 | $14 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $165 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $217 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 13 | 13 | $51 |
In context: peer comparison
Among 126 peers in Jacksonville Internal Medicine Physician, average services per provider: 514. This provider delivers 3.7× the peer median.Open Payments
Industry payments received
All-time total
$941
Transactions
52
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corcept Therapeutics | 20 | $322.76 | |
| AstraZeneca Pharmaceuticals Lp | 8 | $203.84 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 6 | $117.55 | |
| Lilly USA, LLC | 3 | $52.50 | |
| Exact Sciences Corporation | 3 | $51.83 | |
| Astellas Pharma US INC | 3 | $48.56 | |
| Abbvie INC. | 2 | $35.90 | |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | 2 | $32.01 | |
| Metacel Pharmaceuticals LLC | 1 | $16.60 | |
| Novo Nordisk INC | 1 | $15.96 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $15.16 | |
| Merck Sharp & Dohme LLC | 1 | $14.36 | |
| Phathom Pharmaceuticals, INC. | 1 | $14.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,334
Patients
1,354
Total drug cost
$65,484
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 531 | 168 | $4,868 |
| Montelukast Sodium | Generic | 430 | 169 | $5,304 |
| Rosuvastatin Calcium | Generic | 426 | 127 | $7,137 |
| Atorvastatin Calcium | Generic | 355 | 107 | $5,509 |
| Carvedilol | Generic | 333 | 95 | $4,742 |
| Losartan Potassium | Generic | 309 | 90 | $4,782 |
| Levothyroxine Sodium | Generic | 274 | 78 | $4,064 |
| Metformin Hcl | Generic | 250 | 72 | $1,788 |
| Gabapentin | Generic | 228 | 74 | $4,133 |
| Duloxetine Hcl | Generic | 227 | 58 | $6,282 |
Hospital affiliations
Frequently asked questions
What is Dr. Eduardo Balbona's medical specialty?
Dr. Eduardo Balbona practices Internal Medicine Physician in Jacksonville, FL.
Where does Dr. Eduardo Balbona practice?
Dr. Eduardo Balbona practices at 2257 Oak St, Jacksonville, FL 32204. Office phone: 9043889202.
What is Dr. Eduardo Balbona's NPI?
Dr. Eduardo Balbona's National Provider Identifier (NPI) is 1073506168, issued by NPPES.
Does Dr. Eduardo Balbona accept Medicare assignment?
Dr. Eduardo Balbona does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Eduardo Balbona 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 99215); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.