Doctor profile · Federal record
Dr. Balaji Pratap, MD
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Middletown, NY
- NPI 1063725471
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
155 Crystal Run RD
Middletown, NY 109414028
(845) 703-6999
fax (845) 703-6297
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- November 18, 2016
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- New York #271989
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063725471. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
8,479
Distinct HCPCS
10
Medicare allowed
$1,055,226
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,400 | 570 | $122 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 761 | 225 | $136 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 682 | 217 | $91 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 601 | 447 | $9 | |
99310 |
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 491 | 172 | $175 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 304 | 270 | $207 | |
99291 |
Critical care, first 30-74 minutes | 289 | 86 | $246 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 261 | 246 | $75 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 259 | 83 | $122 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 239 | 202 | $199 |
In context: peer comparison
Among 6 peers in Middletown Cardiovascular Disease Physician, average services per provider: 171. This provider delivers 50× the peer median.Open Payments
Industry payments received
All-time total
$1,376
Transactions
55
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kestra Medical Technology Services, INC. | 4 | $303.13 | |
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 9 | $180.04 | |
| Novartis Pharmaceuticals Corporation | 9 | $168.24 | |
| AstraZeneca Pharmaceuticals Lp | 8 | $160.91 | |
| Novo Nordisk INC | 4 | $79.76 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $78.82 | |
| Merck Sharp & Dohme LLC | 3 | $60.22 | |
| Esperion Therapeutics, INC. | 3 | $56.78 | |
| Baxter Healthcare | 1 | $56.27 | |
| Pfizer INC. | 3 | $47.98 | |
| Amgen INC. | 2 | $42.20 | |
| Janssen Pharmaceuticals, INC | 2 | $36.86 | |
| Lilly USA, LLC | 2 | $35.61 | |
| Scpharmaceuticals INC. | 1 | $33.97 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $18.02 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
469
Patients
131
Total drug cost
$94,441
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Furosemide | Generic | 61 | 23 | $496 |
| Atorvastatin Calcium | Generic | 54 | 22 | $888 |
| Metoprolol Succinate | Generic | 53 | 22 | $966 |
| Eliquis (Apixaban) | Brand | 45 | 14 | $47,767 |
| Labetalol Hcl | Generic | 32 | 0 | $1,451 |
| Valsartan | Generic | 32 | 12 | $768 |
| Amlodipine Besylate | Generic | 31 | 12 | $380 |
| Metoprolol Tartrate | Generic | 30 | 15 | $219 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 24 | 11 | $583 |
| Farxiga (Dapagliflozin Propanediol) | Brand | 22 | 0 | $22,074 |
Hospital affiliations
Frequently asked questions
What is Dr. Balaji Pratap's medical specialty?
Dr. Balaji Pratap practices Cardiovascular Disease Physician in Middletown, NY.
Where does Dr. Balaji Pratap practice?
Dr. Balaji Pratap practices at 155 Crystal Run RD, Middletown, NY 109414028. Office phone: 8457036999.
What is Dr. Balaji Pratap's NPI?
Dr. Balaji Pratap's National Provider Identifier (NPI) is 1063725471, issued by NPPES.
Does Dr. Balaji Pratap accept Medicare assignment?
Yes. Dr. Balaji Pratap accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Balaji Pratap commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.