Doctor profile · Federal record
Dr. Stanley Balon, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Internal Medicine Physician · Woonsocket, RI
- NPI 1003860172
- Accepts Medicare
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20 Cumberland Hill RD Unit 202
Woonsocket, RI 028954854
(401) 488-4003
fax (014) 884-4744
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- September 20, 2024
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State licenses (2)
- Rhode Island #5801 · Rhode Island #05801
- Medicaid
- RI #9001130
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003860172. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
849
Distinct HCPCS
9
Medicare allowed
$92,141
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 369 | 200 | $128 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 129 | 95 | $92 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 114 | $131 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 84 | 84 | $168 | |
G0008 |
Administration of influenza virus vaccine | 57 | 56 | $31 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 42 | 41 | $15 | |
96127 |
Assessment of emotional or behavioral problems | 21 | 20 | $5 | |
G0009 |
Administration of pneumococcal vaccine | 21 | 21 | $30 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $58 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 94. This provider delivers 9.0× the peer median.Open Payments
Industry payments received
All-time total
$184
Transactions
9
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 2 | $46.58 | |
| Novo Nordisk Inc | 2 | $38.08 | |
| Exact Sciences Corporation | 1 | $25.07 | |
| ABBVIE INC. | 1 | $23.23 | |
| AstraZeneca Pharmaceuticals LP | 1 | $19.36 | |
| Lilly USA, LLC | 1 | $17.86 | |
| Lucid Diagnostics Inc. | 1 | $13.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
5,409
Patients
1,350
Total drug cost
$228,172
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 1,082 | 266 | $16,849 |
| Amlodipine Besylate | Generic | 589 | 147 | $6,064 |
| Losartan Potassium | Generic | 548 | 144 | $10,464 |
| Omeprazole | Generic | 390 | 106 | $6,086 |
| Lisinopril | Generic | 372 | 101 | $4,166 |
| Hydrochlorothiazide | Generic | 306 | 83 | $1,813 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 297 | 77 | $4,765 |
| Levothyroxine Sodium | Generic | 271 | 70 | $6,272 |
| Alprazolam | Generic | 250 | 36 | $1,058 |
| Simvastatin | Generic | 235 | 64 | $3,271 |
Frequently asked questions
What is Dr. Stanley Balon's medical specialty?
Dr. Stanley Balon practices Internal Medicine Physician in Woonsocket, RI.
Where does Dr. Stanley Balon practice?
Dr. Stanley Balon practices at 20 Cumberland Hill RD Unit 202, Woonsocket, RI 028954854. Office phone: 4014884003.
What is Dr. Stanley Balon's NPI?
Dr. Stanley Balon's National Provider Identifier (NPI) is 1003860172, issued by NPPES.
Does Dr. Stanley Balon accept Medicare assignment?
Yes. Dr. Stanley Balon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stanley Balon commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.