2026 NPPES data Family Medicine Physician NPI 1952495970 DO
Verify on CMS →

DALE BALKOVEC, DO

Family Medicine Physician in MAPLE HEIGHTS, Ohio. 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
12K
Medicare Part D claims · 792 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: DALE BALKOVEC, DO is a Family Medicine Physician ([object Object]) practicing in MAPLE HEIGHTS, Ohio with a Medicare Part D prescribing footprint of 12K claims across 792 beneficiaries — 9% brand-name prescribing .

What stands out: DALE BALKOVEC, DO filed 11,620 Medicare Part D claims in 2023 across MAPLE HEIGHTS, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DALE BALKOVEC, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DALE BALKOVEC, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 10/03/2006

NPI 1952495970

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

11,620 240% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Ohio

How Family Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Family Medicine Physician share within Ohio

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

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).

DALE BALKOVEC, DO is a Family Medicine Physician provider practicing in MAPLE HEIGHTS, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1952495970. 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.

DALE BALKOVEC, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 15003 TURNEY RD, MAPLE HEIGHTS, OH, 44137, with a listed phone of (216) 663-7753. NPI 1952495970 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALKOVEC 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 11,620 prescription claims written by this provider, covering 792 Medicare beneficiaries and totaling roughly $811K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.9%. 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

15003 TURNEY RD
MAPLE HEIGHTS, OH 44137

Provider Details

NPI 1952495970
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 10/03/2006

Hospital and facility affiliations

Facilities where DALE BALKOVEC, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CLEVELAND CLINIC
★★★★☆ 4/5
GARFIELD HEIGHTS, OH
Acute Care Hospitals
CMS CCN: 360180

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to DALE BALKOVEC, DO. To verify DALE BALKOVEC, DO's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DALE BALKOVEC, DO — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 11,620 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.

11,620
Total Claims
$811K
Total Drug Cost
792
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,984
Total Day Supply
663,020
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$563K
Generic Drug Cost
$238K
Opioid Claims
217 (1.9% rate)
Antibiotic Claims
264

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.06
Gender Split
52% female / 48% male
Age Distribution
<65: 82, 65-74: 405, 75-84: 224, 85+: 81

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
642
Atorvastatin Calcium
476
Levothyroxine Sodium
378
Lisinopril
348
Pantoprazole Sodium
338
Metformin Hcl
301
Rosuvastatin Calcium
285
Metoprolol Succinate
258
Gabapentin
232
Pravastatin Sodium
229

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

Family Medicine Physician Overview

How DALE BALKOVEC, DO 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

DALE BALKOVEC, DO's 11,620 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Ohio

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

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

Frequently Asked Questions

What is DALE BALKOVEC, DO's specialty?
DALE BALKOVEC, DO specializes in Family Medicine Physician and practices in MAPLE HEIGHTS, Ohio. Credentials: DO.
How much does DALE BALKOVEC, DO prescribe under Medicare Part D?
In 2023, DALE BALKOVEC, DO wrote 11,620 Medicare Part D claims totaling $811K in drug costs for 792 beneficiaries.
Where is DALE BALKOVEC, DO located?
DALE BALKOVEC, DO is located at 15003 TURNEY RD, MAPLE HEIGHTS, OH, 44137. Phone: (216) 663-7753.
What is DALE BALKOVEC, DO's NPI number?
DALE BALKOVEC, DO's National Provider Identifier (NPI) is 1952495970, issued on 10/03/2006.
Does DALE BALKOVEC, DO prescribe more brand-name or generic drugs?
DALE BALKOVEC, DO's prescribing is 9% brand-name and 91% generic drugs by claim count, with $563K in brand drug costs.
Does DALE BALKOVEC, DO prescribe opioids?
Yes, DALE BALKOVEC, DO had 217 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
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.
What drugs does DALE BALKOVEC, DO prescribe most often?
Based on 2023 Medicare Part D data, DALE BALKOVEC, DO's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DALE BALKOVEC, DO accept Medicare?
DALE BALKOVEC, DO appears in CMS Medicare data with 11,620 Part D claims and 792 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DALE BALKOVEC, DO's credentials?
DALE BALKOVEC, DO's NPI is 1952495970 with credentials DO. 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