Brett Daniel Baloun, MD
Gastroenterology Physician · Sioux Falls, SD
Brett Daniel Baloun, MD is a gastroenterology physician with a practice address in Sioux Falls, South Dakota, and NPI 1245448869, issued on May 18, 2007. Check the license (South Dakota 8463, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.
- Name
- Brett Daniel Baloun
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 8463 SD
Self-reported in NPPES; status is on the state search - Practice location
- 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105
- Phone
- (605) 328-8500
- Enumerated
- May 18, 2007
- Record last updated
- Feb 28, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (605) 328-8501
- Medicare enrollment
- Enrolled (PECOS I20121025000108); accepts Medicare assignment
- Medical or professional school
- Sanford School Of Medicine Of University Of South Dakota, 2004
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 1205 S Grange Ave Ste 104
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jorge Gilbert, M.D.Gastroenterology Physician1205831377
- Ashley OliverNurse Practitioner1619227519
Verify Brett Daniel Baloun in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
Search for license 8463Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average gastroenterology physician in 2024
1,805 Medicare Part D claims for 600 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.
Most prescribed
- Ondansetron Hcl350 claims
- Peg 3350-Electrolyte341 claims
- Omeprazole158 claims
- Pantoprazole Sodium122 claims
- Rabeprazole Sodium122 claims
- Famotidine95 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): 76.7 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: $52.67
3 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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 2 group practices
- Sanford ClinicSioux Falls, SD
- Sanford Medical CenterSioux Falls, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gastroenterology Physician providers in South Dakota
There are 49 gastroenterology physician records in South Dakota.
Other gastroenterology physician records in South Dakota
- Backer Abdu, MDSioux Falls, SD1306366760
- Mouhanna Abu Ghanimeh, M.D.Sioux Falls, SD1962812982
- Kesiena AkpoigbeYankton, SD1922599612
- Oksana Aleksenko, MDRapid City, SD1043439631
- Aydamir AlrakawiRapid City, SD1154343051
- Muslim Atiq, M.D.Sioux Falls, SD1548475031
- Lee Austin, M.D.Sioux Falls, SD1306927074
- Dale BachwichRapid City, SD1114978947
- John Barker, M.D.Sioux Falls, SD1063486975
- Matthew Bell, MDSioux Falls, SD1467081547
Common questions
What is Brett Daniel Baloun, MD's NPI number?
Brett Daniel Baloun, MD's National Provider Identifier (NPI) is 1245448869, issued on May 18, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Brett Daniel Baloun, MD located?
The NPPES record lists a practice address at 1205 S Grange Ave Ste 104, Sioux Falls, SD, 57105. Phone: (605) 328-8500. Providers update this record themselves, so call before visiting.
How can I verify Brett Daniel Baloun, MD's license?
NPPES lists South Dakota license number 8463, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Brett Daniel Baloun, MD prescribe under Medicare Part D?
In 2024, Brett Daniel Baloun, MD had 1,805 Medicare Part D claims for 600 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Brett Daniel Baloun, MD's MIPS final score?
The 2023 MIPS final score is 76.7 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.