Doctor profile · Federal record

Dr. Pablo Balboa-Marciack, MD

Family Medicine Physician (CMS: Family Practice) · Calhoun, GA

  • NPI 1255357067
  • Accepts Medicare
  • MIPS 81.5 / 100 · 2023
  • 31 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
100 Hospital CT
Calhoun, GA 307012077
(706) 602-8200
fax (706) 602-1354
Mailing address
Po Box 12938, C/O Clinic Management
Calhoun, GA 30703

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
December 13, 2018
Year of graduation
1995 — 31 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Georgia #055409
Medicaid
GA #135418395C

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255357067. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,529
Distinct HCPCS
10
Medicare allowed
$64,157
HCPCS Description Services Patients Avg allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg 580 91 $0
99214 Established patient office or other outpatient visit, 30-39 minutes 328 134 $120
99213 Established patient office or other outpatient visit, 20-29 minutes 183 161 $83
96372 Injection of drug or substance under skin or into muscle 139 99 $13
83036 Hemoglobin a1c level 116 43 $9
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 60 58 $37
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 35 33 $13
G0008 Administration of influenza virus vaccine 27 26 $29
81003 Automated urinalysis test 24 23 $2
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 23 23 $73

In context: peer comparison

Among 5 peers in this city , average services per provider: 100. This provider delivers 15× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$264
Transactions
14
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 6 $100.10
PFIZER INC. 3 $57.64
Phathom Pharmaceuticals, Inc. 2 $37.29
Dexcom, Inc. 1 $32.81
Novo Nordisk Inc 1 $19.34
AstraZeneca Pharmaceuticals LP 1 $16.32

By nature of payment

Food and Beverage
$264

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
3,009
Patients
867
Total drug cost
$38,282
Drug Type Claims Patients Total cost
Amlodipine Besylate Generic 352 104 $2,581
Atorvastatin Calcium Generic 278 89 $4,074
Lisinopril Generic 261 73 $1,923
Metformin Hcl Generic 261 68 $2,410
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 245 67 $8,029
Omeprazole Generic 194 54 $3,163
Levothyroxine Sodium Generic 191 49 $2,897
Gabapentin Generic 179 40 $3,560
Pantoprazole Sodium Generic 179 61 $2,766
Furosemide Generic 158 53 $828

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Pablo Balboa-Marciack's medical specialty?
Dr. Pablo Balboa-Marciack practices Family Medicine Physician in Calhoun, GA.
Where does Dr. Pablo Balboa-Marciack practice?
Dr. Pablo Balboa-Marciack practices at 100 Hospital CT, Calhoun, GA 307012077. Office phone: 7066028200.
What is Dr. Pablo Balboa-Marciack's NPI?
Dr. Pablo Balboa-Marciack's National Provider Identifier (NPI) is 1255357067, issued by NPPES.
Does Dr. Pablo Balboa-Marciack accept Medicare assignment?
Yes. Dr. Pablo Balboa-Marciack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pablo Balboa-Marciack commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.