Doctor profile · Federal record
Dr. Roumen Balabanov, M.D.
Neurology Physician (CMS: Neurology) · Chicago, IL
- NPI 1508817941
- Accepts Medicare
- MIPS 91.3 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
259 E Erie St Ste 1900
Chicago, IL 606113246
(312) 695-7950
fax (312) 695-5747
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- December 18, 2019
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 2084N0400X — NUCC code
- State license (1)
- Illinois #036105349
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508817941. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12,001
Distinct HCPCS
9
Medicare allowed
$676,052
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2350 |
Injection, ocrelizumab, 1 mg | 11,400 | 18 | $55 | |
J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg | 133 | 32 | $5 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 132 | 96 | $180 | |
96365 |
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 111 | 28 | $68 | |
96415 |
Administration of chemotherapy into vein, each additional hour | 65 | 25 | $30 | |
99443 |
Telephone medical discussion with physician, 21-30 minutes | 62 | 45 | $133 | |
96375 |
Injection of additional new drug or substance into vein | 47 | 27 | $16 | |
96413 |
Administration of chemotherapy into vein, 1 hour or less | 34 | 26 | $139 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 17 | 17 | $223 |
In context: peer comparison
Among 86 peers in Chicago Neurology Physician, average services per provider: 171. This provider delivers 70× the peer median.Open Payments
Industry payments received
All-time total
$145
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Emd Serono, INC. | 1 | $144.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
573
Patients
72
Total drug cost
$1,289,406
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mycophenolate Mofetil | Generic | 69 | 16 | $12,345 |
| Baclofen | Generic | 67 | 22 | $4,778 |
| Dalfampridine ER (Dalfampridine) | Brand | 62 | 12 | $70,465 |
| Gabapentin | Generic | 45 | 11 | $1,242 |
| Diazepam | Generic | 44 | 0 | $187 |
| Gammagard Liquid (Immun Glob G(Igg)/Gly/Iga Ov50) | Brand | 42 | 0 | $241,041 |
| Dimethyl Fumarate | Generic | 41 | 0 | $98,611 |
| Tecfidera (Dimethyl Fumarate) | Brand | 39 | 0 | $358,223 |
| Clonazepam | Generic | 34 | 0 | $534 |
| Vumerity (Diroximel Fumarate) | Brand | 28 | 0 | $279,756 |
Hospital affiliations
Frequently asked questions
What is Dr. Roumen Balabanov's medical specialty?
Dr. Roumen Balabanov practices Neurology Physician in Chicago, IL.
Where does Dr. Roumen Balabanov practice?
Dr. Roumen Balabanov practices at 259 E Erie St Ste 1900, Chicago, IL 606113246. Office phone: 3126957950.
What is Dr. Roumen Balabanov's NPI?
Dr. Roumen Balabanov's National Provider Identifier (NPI) is 1508817941, issued by NPPES.
Does Dr. Roumen Balabanov accept Medicare assignment?
Yes. Dr. Roumen Balabanov accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roumen Balabanov commonly perform?
Top Medicare-reported procedures in 2023: Injection, ocrelizumab, 1 mg (HCPCS J2350); Injection, methylprednisolone sodium succinate, up to 125 mg (HCPCS J2930); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.