Ashwin Balagopal, M.D.
Internal Medicine Physician · Baltimore, MD
Ashwin Balagopal, M.D. is an internal medicine physician with a practice address in Baltimore, Maryland, and NPI 1295872927, issued on Jan 31, 2007. Check the license (Maryland D69548, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Ashwin Balagopal
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- D69548 MD
35085045 OH
Self-reported in NPPES; status is on the state search - Practice location
- 1717 E Monument St, Baltimore, MD 21287
- Phone
- (410) 955-1725
- Enumerated
- Jan 31, 2007
- Record last updated
- Jan 15, 2026
- Medicaid ID
- 417955200 MD
- Medicare enrollment
- Enrolled (PECOS I20090827000259); may accept Medicare assignment
- Medical or professional school
- Icahn School Of Medicine At Mount Sinai, 2000
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,904 in Maryland → Look up another NPI →
Also registered at 1717 E Monument St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ashwin Balagopal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D69548Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
82% fewer Medicare Part D claims than the average internal medicine physician in 2024
572 Medicare Part D claims for 27 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 51% of claims.
Most prescribed
- Biktarvy92 claims
- Genvoya37 claims
- Triumeq37 claims
- Amlodipine Besylate31 claims
- Atorvastatin Calcium27 claims
- Lisinopril26 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 practice group's MIPS final score for 2023 (Medicare payment program): 74.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,200.00
1 payment: consulting fee; the largest payer was Ortho-Clinical Diagnostics, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 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
- Johns Hopkins UniversityBaltimore, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ashwin Balagopal among 3,904 internal medicine physician records in Maryland
Ashwin Balagopal, M.D. is one of 3,904 internal medicine physician records with a practice address in Maryland. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 45% of them.
- NPI issued2007 · 45% of these records are older, 44% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2000 · median 2003 among the 2,445 with a school on file
- Record last updated2026 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,278 internal medicine physician records list a practice address in Baltimore
They are 1,278 of the 35,183 NPPES records with a practice address in Baltimore, and 3,904 internal medicine physician records in Maryland.
All 3,904 in Maryland → Every provider in Baltimore → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
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- Eric Bass, M.D.Baltimore, MD 212871346205416
- Christie Basseth, M.D.Baltimore, MD 212871972568426
- Mary Catherine Beach, M.D.Baltimore, MD 212871598720922
- Valeriani Bead, M.D.Baltimore, MD 212871396700720
- Gail Berkenblit, M.D.Baltimore, MD 212871841256781
Common questions
What is Ashwin Balagopal, M.D.'s NPI number?
Ashwin Balagopal, M.D.'s National Provider Identifier (NPI) is 1295872927, issued on Jan 31, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Ashwin Balagopal, M.D. located?
The NPPES record lists a practice address at 1717 E Monument St, Baltimore, MD, 21287. Phone: (410) 955-1725. Providers update this record themselves, so call before visiting.
How can I verify Ashwin Balagopal, M.D.'s license?
NPPES lists Maryland license number D69548, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ashwin Balagopal, M.D. prescribe under Medicare Part D?
In 2024, Ashwin Balagopal, M.D. had 572 Medicare Part D claims for 27 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Ashwin Balagopal, M.D.'s MIPS final score?
The 2023 MIPS final score is 74.4 of 100, reported for the practice group. 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.