2026 NPPES data Physician Assistant NPI 1497133102 P.A.
Verify on CMS →

BALSAM AL BALAGHI, P.A.

Physician Assistant in DETROIT, Michigan. 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
874
Medicare Part D claims · 348 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$238.47
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BALSAM AL BALAGHI, P.A. filed 874 Medicare Part D claims in 2023 as a Physician Assistant in DETROIT, Michigan, prescribing 87% generic.

874
Part D claims, 2023
87%
generic prescribing
$238.47
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BALSAM AL BALAGHI, P.A.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

874 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about BALSAM AL BALAGHI, P.A.?

Quality data not reported

NPI registry status

Active

Issued 05/13/2015

NPI 1497133102

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

874 11% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Michigan

How Physician Assistant compares to other specialties among Michigan providers

Michigan providers

Physician Assistant share within Michigan

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Michigan

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

BALSAM AL BALAGHI, P.A. appears in the CMS NPPES registry as a Physician Assistant provider holding P.A. credentials at 6071 W OUTER DR, DETROIT, MI, 48235, with a listed phone of (313) 966-3300. NPI 1497133102 was issued on 05/13/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AL BALAGHI 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 874 prescription claims written by this provider, covering 348 Medicare beneficiaries and totaling roughly $52K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.4%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

6071 W OUTER DR
DETROIT, MI 48235

Provider Details

NPI 1497133102
Specialty Physician Assistant
Credentials P.A.
Gender Female
NPI Issued 05/13/2015

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BALSAM AL BALAGHI, P.A.. Source: openpaymentsdata.cms.gov.

Total received

$238

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to BALSAM AL BALAGHI, P.A.. To verify BALSAM AL BALAGHI, P.A.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

BALSAM AL BALAGHI, P.A. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 874 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.

874
Total Claims
$52K
Total Drug Cost
348
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
904
Total Day Supply
19,055
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$41K
Generic Drug Cost
$10K
Opioid Claims
30 (3.4% rate)
Antibiotic Claims
119

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
2.20
Gender Split
57% female / 43% male
Age Distribution
<65: 35, 65-74: 104, 75-84: 127, 85+: 82

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BALSAM AL BALAGHI, P.A. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
46
Cefuroxime
Cefuroxime Axetil
46
Furosemide
43
Metoprolol Tartrate
41
Prednisone
40
Pantoprazole Sodium
28
Amlodipine Besylate
27
Losartan Potassium
25
Eliquis
Apixaban
23
Metoprolol Succinate
23

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How BALSAM AL BALAGHI, P.A. fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

BALSAM AL BALAGHI, P.A.'s 874 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as AL BALAGHI.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is BALSAM AL BALAGHI, P.A.'s specialty?
BALSAM AL BALAGHI, P.A. specializes in Physician Assistant and practices in DETROIT, Michigan. Credentials: P.A..
How much does BALSAM AL BALAGHI, P.A. prescribe under Medicare Part D?
In 2023, BALSAM AL BALAGHI, P.A. wrote 874 Medicare Part D claims totaling $52K in drug costs for 348 beneficiaries.
Where is BALSAM AL BALAGHI, P.A. located?
BALSAM AL BALAGHI, P.A. is located at 6071 W OUTER DR, DETROIT, MI, 48235. Phone: (313) 966-3300.
What is BALSAM AL BALAGHI, P.A.'s NPI number?
BALSAM AL BALAGHI, P.A.'s National Provider Identifier (NPI) is 1497133102, issued on 05/13/2015.
Does BALSAM AL BALAGHI, P.A. prescribe more brand-name or generic drugs?
BALSAM AL BALAGHI, P.A.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $41K in brand drug costs.
Does BALSAM AL BALAGHI, P.A. prescribe opioids?
Yes, BALSAM AL BALAGHI, P.A. had 30 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does BALSAM AL BALAGHI, P.A. prescribe most often?
Based on 2023 Medicare Part D data, BALSAM AL BALAGHI, P.A.'s most frequently prescribed drugs include Atorvastatin Calcium, Cefuroxime, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BALSAM AL BALAGHI, P.A. accept Medicare?
BALSAM AL BALAGHI, P.A. appears in CMS Medicare data with 874 Part D claims and 348 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BALSAM AL BALAGHI, P.A.'s credentials?
BALSAM AL BALAGHI, P.A.'s NPI is 1497133102 with credentials P.A.. 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