Doctor profile · Federal record
Dr. Luis Balbuena, MD
Otolaryngology Physician (CMS: Otolaryngology) · Marshall, TX
- NPI 1649254749
- Accepts Medicare
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
703 S Washington Ave
Marshall, TX 756705337
(903) 927-6880
fax (903) 927-6884 - Mailing address
-
Po Box 1325
Marshall, TX 756711325
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- June 30, 2011
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- Texas #J5538
- Medicaid
- TX #041854301
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649254749. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
824
Distinct HCPCS
10
Medicare allowed
$66,126
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 281 | 180 | $87 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 103 | 103 | $109 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 86 | 59 | $125 | |
69210 |
Removal of impacted ear wax | 73 | 65 | $43 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 48 | 41 | $55 | |
92567 |
Test to assess middle ear function | 46 | 46 | $16 | |
92552 |
Test for hearing various pitches using earphone | 31 | 31 | $32 | |
92555 |
Test for ability to detect and repeat spoken words | 31 | 31 | $26 | |
92557 |
Comprehensive hearing and speech recognition test | 28 | 28 | $36 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 25 | 23 | $120 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 58. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 2 | $42.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
853
Patients
368
Total drug cost
$20,971
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluticasone Propionate | Generic | 260 | 111 | $4,560 |
| Pantoprazole Sodium | Generic | 144 | 46 | $1,931 |
| Ipratropium Bromide | Generic | 120 | 41 | $5,455 |
| Famotidine | Generic | 51 | 16 | $318 |
| Clotrimazole | Generic | 38 | 21 | $1,064 |
| Levocetirizine Dihydrochloride | Generic | 38 | 11 | $658 |
| Ofloxacin | Generic | 36 | 26 | $3,001 |
| Cefdinir | Generic | 32 | 26 | $1,199 |
| Clindamycin Hcl | Generic | 25 | 20 | $582 |
| Gabapentin | Generic | 20 | 0 | $232 |
Frequently asked questions
What is Dr. Luis Balbuena's medical specialty?
Dr. Luis Balbuena practices Otolaryngology Physician in Marshall, TX.
Where does Dr. Luis Balbuena practice?
Dr. Luis Balbuena practices at 703 S Washington Ave, Marshall, TX 756705337. Office phone: 9039276880.
What is Dr. Luis Balbuena's NPI?
Dr. Luis Balbuena's National Provider Identifier (NPI) is 1649254749, issued by NPPES.
Does Dr. Luis Balbuena accept Medicare assignment?
Yes. Dr. Luis Balbuena accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Luis Balbuena commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Diagnostic exam of voice box using a flexible endoscope (HCPCS 31575). Source: CMS Medicare Physician & Other Practitioners file.