Doctor profile · Federal record
Dr. Prudencio Balagtas, D.O.
Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Cleveland, OH
- NPI 1366505059
- Accepts Medicare
- MIPS 65.6 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9500 Euclid Ave, S40
Cleveland, OH 441950001
(216) 636-5860 - Mailing address
-
2801 K St, Ste 410
Sacramento, CA 958165119
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- May 9, 2019
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State license (1)
- Ohio #58005145
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366505059. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
454
Distinct HCPCS
10
Medicare allowed
$45,896
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 135 | 65 | $92 | |
95886 |
Needle measurement of electrical activity in arm or leg muscles, complete study | 88 | 48 | $105 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 54 | 40 | $12 | |
64483 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 40 | 31 | $145 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 30 | 30 | $228 | |
64484 |
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 26 | 24 | $66 | |
95910 |
Nerve conduction, 7-8 studies | 22 | 22 | $188 | |
64493 |
Injection of lower or sacral spine facet joint using imaging guidance, single level | 16 | 15 | $118 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 16 | 16 | $33 | |
64494 |
Injection of lower or sacral spine facet joint using imaging guidance, second level | 15 | 14 | $66 |
In context: peer comparison
Among 23 peers in this city , average services per provider: 72. This provider delivers 6.3× the peer median.Open Payments
Industry payments received
All-time total
$578
Transactions
20
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 8 | $237.78 | |
| Saluda Medical Americas, Inc. | 2 | $115.08 | |
| Merz Pharmaceuticals, LLC | 1 | $39.88 | |
| Curonix LLC | 2 | $34.09 | |
| Ipsen Biopharmaceuticals, Inc | 1 | $33.97 | |
| Collegium Pharmaceutical, Inc. | 2 | $30.09 | |
| VERTEX PHARMACEUTICALS INCORPORATED | 1 | $27.23 | |
| ABBVIE INC. | 1 | $23.75 | |
| SPR Therapeutics, Inc | 1 | $19.92 | |
| Nalu Medical, Inc. | 1 | $16.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
238
Patients
33
Total drug cost
$24,198
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 70 | 13 | $2,587 |
| Gabapentin | Generic | 62 | 20 | $1,462 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 35 | 0 | $1,657 |
| Celecoxib | Generic | 17 | 0 | $690 |
| Pregabalin | Generic | 17 | 0 | $205 |
| Tramadol Hcl | Generic | 13 | 0 | $98 |
| Methadone Hcl | Generic | 12 | 0 | $243 |
| Nucynta (Tapentadol Hcl) | Brand | 12 | 0 | $17,257 |
Frequently asked questions
What is Dr. Prudencio Balagtas's medical specialty?
Dr. Prudencio Balagtas practices Physical Medicine & Rehabilitation Physician in Cleveland, OH.
Where does Dr. Prudencio Balagtas practice?
Dr. Prudencio Balagtas practices at 9500 Euclid Ave, Cleveland, OH 441950001. Office phone: 2166365860.
What is Dr. Prudencio Balagtas's NPI?
Dr. Prudencio Balagtas's National Provider Identifier (NPI) is 1366505059, issued by NPPES.
Does Dr. Prudencio Balagtas accept Medicare assignment?
Yes. Dr. Prudencio Balagtas accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prudencio Balagtas commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS 95886); Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older) (HCPCS 99152). Source: CMS Medicare Physician & Other Practitioners file.