Ashley Erin Balaker, M.D.
Otolaryngology Physician · Laguna Hills, CA
Ashley Erin Balaker, M.D. is an otolaryngology physician with a practice address in Laguna Hills, California, and NPI 1427387547, issued on Dec 19, 2009. Check the license (California A108296, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Ashley Erin Balaker
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- A108296 CA
Self-reported in NPPES; status is on the state search - Practice location
- 24411 Health Center Dr Ste 370, Laguna Hills, CA 92653
- Phone
- (949) 364-4361
- Enumerated
- Dec 19, 2009
- Record last updated
- Jan 29, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (949) 364-4495
- Medicare enrollment
- Enrolled (PECOS I20120313000314); accepts Medicare assignment
- Medical or professional school
- University Of Southern California Keck School Of Medicine, 2007
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 1,212 in California → Look up another NPI →
Verify Ashley Erin Balaker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A108296Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% more Medicare Part D claims than the average otolaryngology physician in 2024
786 Medicare Part D claims for 360 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 6% of claims.
Most prescribed
- Azelastine Hcl140 claims
- Tobramycin-Dexamethasone138 claims
- Ipratropium Bromide91 claims
- Fluticasone Propionate83 claims
- Fluocinolone Acetonide Oil70 claims
- Fluocinolone Acetonide33 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 90.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $172.31
5 payments; by number, the most common kind was food and beverage; the largest payer was Cochlear Americas. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Head And Neck Associates OF Orange County AN IncorprateIrvine, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ashley Erin Balaker among 1,212 otolaryngology physician records in California
Ashley Erin Balaker, M.D. is one of 1,212 otolaryngology physician records with a practice address in California. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 65% of them.
- NPI issued2009 · 65% of these records are older, 31% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2007 · median 2004 among the 818 with a school on file
- Record last updated2019 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in California
There are 1,212 otolaryngology physician records in California.
All 1,212 in California → Every provider in Laguna Hills → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Scott Roof, M.D.Laguna Hills, CA 926531669867123
- Paul Sun, M.D.Laguna Hills, CA 926531861599193
- John Sun, M.D.Laguna Hills, CA 926531578664025
- Christopher Yian, M.D.Laguna Hills, CA 926531003913336
- Sarah Vakkalanka, MDHuntington Beach, CA 926481427029883
- Sherman Don, MDHuntington Beach, CA 926471316139280
- Nghia Nguyen, M.D.Huntington Beach, CA 926471831194539
- Leslie Bain, MDNewport Beach, CA 926601306906128
Common questions
What is Ashley Erin Balaker, M.D.'s NPI number?
Ashley Erin Balaker, M.D.'s National Provider Identifier (NPI) is 1427387547, issued on Dec 19, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Ashley Erin Balaker, M.D. located?
The NPPES record lists a practice address at 24411 Health Center Dr Ste 370, Laguna Hills, CA, 92653. Phone: (949) 364-4361. Providers update this record themselves, so call before visiting.
How can I verify Ashley Erin Balaker, M.D.'s license?
NPPES lists California license number A108296, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ashley Erin Balaker, M.D. prescribe under Medicare Part D?
In 2024, Ashley Erin Balaker, M.D. had 786 Medicare Part D claims for 360 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Ashley Erin Balaker, M.D.'s MIPS final score?
The 2023 MIPS final score is 90.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.