Doctor profile · Federal record
Dr. David Balaban, MD
Specialist (CMS: Gastroenterology) · Charlottesville, VA
- NPI 1225035959
- Accepts Medicare
- MIPS 80.8 / 100 · 2023
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1139 E High St
Charlottesville, VA 229024856
(434) 817-8484
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- January 28, 2009
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 174400000X — NUCC code
- State license (1)
- Virginia #0101049501
- Medicaid
- VA #005802431
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225035959. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,011
Distinct HCPCS
10
Medicare allowed
$162,808
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 217 | 184 | $89 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 121 | 16 | $47 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 102 | 22 | $62 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 87 | 87 | $453 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 79 | 78 | $126 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 71 | 71 | $165 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 59 | 59 | $331 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 54 | 54 | $247 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 45 | 45 | $114 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $111 |
In context: peer comparison
Among 4 peers in Charlottesville Specialist, average services per provider: 49. This provider delivers 21× the peer median.Open Payments
Industry payments received
All-time total
$101
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 4 | $101.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
887
Patients
304
Total drug cost
$193,974
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 160 | 40 | $1,796 |
| Omeprazole | Generic | 148 | 47 | $1,349 |
| Mesalamine | Generic | 130 | 28 | $92,811 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 98 | 97 | $2,156 |
| Dicyclomine Hcl | Generic | 80 | 32 | $1,997 |
| Famotidine | Generic | 52 | 12 | $488 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 32 | 32 | $477 |
| Esomeprazole Magnesium | Generic | 31 | 0 | $1,639 |
| Ondansetron Odt (Ondansetron) | Brand | 29 | 16 | $558 |
| Budesonide Ec (Budesonide) | Brand | 26 | 0 | $2,501 |
Frequently asked questions
What is Dr. David Balaban's medical specialty?
Dr. David Balaban practices Specialist in Charlottesville, VA.
Where does Dr. David Balaban practice?
Dr. David Balaban practices at 1139 E High St, Charlottesville, VA 229024856. Office phone: 4348178484.
What is Dr. David Balaban's NPI?
Dr. David Balaban's National Provider Identifier (NPI) is 1225035959, issued by NPPES.
Does Dr. David Balaban accept Medicare assignment?
Yes. Dr. David Balaban accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. David Balaban commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS 99439); Chronic care management services (HCPCS 99490). Source: CMS Medicare Physician & Other Practitioners file.