NPPES file of Aug 9, 2026

Daniel Balikov, MD, PHD

Retina Specialist (Ophthalmology) Physician · Chicago, IL

Daniel Balikov, MD, PHD is a retina specialist (ophthalmology) physician with a practice address in Chicago, Illinois, and NPI 1215598024, issued on Jun 24, 2019. Check the license (Illinois 036176089, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215598024
Name
Daniel Balikov
Credential
MD, PHD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License numbers
036176089 IL
ME161907 FL
Self-reported in NPPES; status is on the state search
Practice location
4822 S Cottage Grove Ave Ste 2-300, Chicago, IL 60061
Phone
(312) 695-8150
Enumerated
Jun 24, 2019
Record last updated
Aug 28, 2025
Fax
(312) 921-1071
Medicare enrollment
Enrolled (PECOS I20250901000626); accepts Medicare assignment
Medical or professional school
Vanderbilt University School Of Medicine, 2019
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Daniel Balikov in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036176089
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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71% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

181 Medicare Part D claims for 99 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 27% of claims.

  1. Daniel Balikov181
  2. Specialty average620

Most prescribed

  1. Neomycin-Polymyxin-Dexameth31 claims
  2. Prednisolone Acetate23 claims
  3. Dorzolamide-Timolol22 claims
  4. Brimonidine Tartrate14 claims
  5. Moxifloxacin12 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): 81.3 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.

  1. Qualityout of 100 · 30% of the final score78.5
  2. Costout of 100 · 30%50.6
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,055.47

7 payments; by number, the most common kind was food and beverage; the largest payer was Alimera Sciences, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Daniel Balikov$1,055.47
  2. Specialty average$7,667.49

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

  1. Northwestern Medical Faculty FoundationChicago, IL
  2. University OF MiamiMiami, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Daniel Balikov among 72 retina specialist (ophthalmology) physician records in Illinois

Daniel Balikov, MD, PHD is one of 72 retina specialist (ophthalmology) physician records with a practice address in Illinois. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 90% of them.

  • NPI issued2019 · 90% of these records are older, 6% newer
  • In a Medicare fileYes · 93% of these records are
  • In the CMS Doctors and Clinicians fileYes · 88% of these records are
  • Graduated2019 · median 2006 among the 63 with a school on file
  • Record last updated2025 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Illinois

There are 72 retina specialist (ophthalmology) physician records in Illinois.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Marc Levin, M.D.Skokie, IL 600771417991621
  2. Andrew Francis, M.D.Addison, IL 601011679836647
  3. Daniel Alter, MDDes Plaines, IL 600161033184528
  4. Kyle Blair, DODes Plaines, IL 600161699121194
  5. Michael Blair, M.D.Des Plaines, IL 600161285645549
  6. John Galasso, M.D.Des Plaines, IL 600161588600647
  7. Enrique Garcia-Valenzuela, MDDes Plaines, IL 600161356316855
  8. Robert Garoon, M.D.Des Plaines, IL 600161013275478

Common questions

What is Daniel Balikov, MD, PHD's NPI number?

Daniel Balikov, MD, PHD's National Provider Identifier (NPI) is 1215598024, issued on Jun 24, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Daniel Balikov, MD, PHD located?

The NPPES record lists a practice address at 4822 S Cottage Grove Ave Ste 2-300, Chicago, IL, 60061. Phone: (312) 695-8150. Providers update this record themselves, so call before visiting.

How can I verify Daniel Balikov, MD, PHD's license?

NPPES lists Illinois license number 036176089, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Daniel Balikov, MD, PHD prescribe under Medicare Part D?

In 2024, Daniel Balikov, MD, PHD had 181 Medicare Part D claims for 99 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Daniel Balikov, MD, PHD's MIPS final score?

The 2023 MIPS final score is 81.3 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.