Doctor profile · Federal record
Dr. Ernesto Banalagay, M.D.
Nephrology Physician (CMS: Nephrology) · Portsmouth, OH
- NPI 1629135470
- Accepts Medicare
- MIPS 84.8 / 100 · 2023
- 45 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1711 27Th St, Braunlin Bldg Ste 301
Portsmouth, OH 456622638
(740) 356-5393
fax (740) 356-7804 - Mailing address
-
1735 27Th St Ste B06
Portsmouth, OH 456622681
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- December 16, 2024
- Year of graduation
- 1981 — 45 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Ohio #35073970
- Medicaid
- OH #2062995
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629135470. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,767
Distinct HCPCS
10
Medicare allowed
$224,905
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 460 | 160 | $76 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 423 | 170 | $121 | |
90935 |
Hemodialysis procedure with physician evaluation | 170 | 45 | $69 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 140 | 50 | $93 | |
90961 |
Dialysis services, 2-3 physician visits per month (20 years or older) | 132 | 39 | $281 | |
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 124 | 41 | $339 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 92 | 68 | $126 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | 66 | $168 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 57 | 53 | $115 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 34 | 34 | $102 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 134. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$120
Transactions
11
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Travere Therapeutics, Inc. | 8 | $59.66 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $23.34 | |
| Otsuka America Pharmaceutical, Inc. | 1 | $20.02 | |
| Ardelyx, Inc. | 1 | $16.65 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
579
Patients
112
Total drug cost
$40,193
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sevelamer Carbonate | Generic | 140 | 35 | $19,467 |
| Calcitriol | Generic | 90 | 33 | $1,700 |
| Amlodipine Besylate | Generic | 56 | 13 | $439 |
| Hydralazine Hcl | Generic | 55 | 0 | $1,173 |
| Lisinopril | Generic | 46 | 0 | $248 |
| Furosemide | Generic | 43 | 15 | $224 |
| Lokelma (Sodium Zirconium Cyclosilicate) | Brand | 41 | 16 | $12,372 |
| Calcium Acetate | Generic | 36 | 0 | $3,142 |
| Potassium Chloride | Generic | 21 | 0 | $447 |
| Pantoprazole Sodium | Generic | 20 | 0 | $81 |
Hospital affiliations
Frequently asked questions
What is Dr. Ernesto Banalagay's medical specialty?
Dr. Ernesto Banalagay practices Nephrology Physician in Portsmouth, OH.
Where does Dr. Ernesto Banalagay practice?
Dr. Ernesto Banalagay practices at 1711 27Th St, Portsmouth, OH 456622638. Office phone: 7403565393.
What is Dr. Ernesto Banalagay's NPI?
Dr. Ernesto Banalagay's National Provider Identifier (NPI) is 1629135470, issued by NPPES.
Does Dr. Ernesto Banalagay accept Medicare assignment?
Yes. Dr. Ernesto Banalagay accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ernesto Banalagay commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Hemodialysis procedure with physician evaluation (HCPCS 90935). Source: CMS Medicare Physician & Other Practitioners file.