2026 NPPES data Family Medicine Physician NPI 1114979366 MD
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ADAM BALIN, MD

Family Medicine Physician in OREGON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
82
Medicare Part D claims · 18 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ADAM BALIN, MD is a Family Medicine Physician ([object Object]) practicing in OREGON, Wisconsin with a Medicare Part D prescribing footprint of 82 claims across 18 beneficiaries — 13% brand-name prescribing .

What stands out: ADAM BALIN, MD filed 82 Medicare Part D claims in 2023 across OREGON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ADAM BALIN, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ADAM BALIN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/16/2006

NPI 1114979366

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

82 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ADAM BALIN, MD is a Family Medicine Physician provider practicing in OREGON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1114979366. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ADAM BALIN, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 753 N MAIN ST, OREGON, WI, 53575, with a listed phone of (608) 835-3156. NPI 1114979366 was issued on 05/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 82 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $10K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

753 N MAIN ST
OREGON, WI 53575

Provider Details

NPI 1114979366
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/16/2006

Brand vs generic prescribing mix · Typical

ADAM BALIN, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 82 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

82
Total Claims
$10K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
4,925
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$8K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.00

Family Medicine Physician Overview

How ADAM BALIN, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ADAM BALIN, MD's 82 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as BALIN.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BALIN, MD's specialty?
ADAM BALIN, MD specializes in Family Medicine Physician and practices in OREGON, Wisconsin. Credentials: MD.
How much does ADAM BALIN, MD prescribe under Medicare Part D?
In 2023, ADAM BALIN, MD wrote 82 Medicare Part D claims totaling $10K in drug costs for 18 beneficiaries.
Where is ADAM BALIN, MD located?
ADAM BALIN, MD is located at 753 N MAIN ST, OREGON, WI, 53575. Phone: (608) 835-3156.
What is ADAM BALIN, MD's NPI number?
ADAM BALIN, MD's National Provider Identifier (NPI) is 1114979366, issued on 05/16/2006.
Does ADAM BALIN, MD prescribe more brand-name or generic drugs?
ADAM BALIN, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $8K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does ADAM BALIN, MD accept Medicare?
ADAM BALIN, MD appears in CMS Medicare data with 82 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BALIN, MD's credentials?
ADAM BALIN, MD's NPI is 1114979366 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology