David Howard Balaban, MD
Specialist · Charlottesville, VA
David Howard Balaban, MD is a specialist with a practice address in Charlottesville, Virginia, and NPI 1225035959, issued on Jul 7, 2005. Check the license (Virginia 0101049501, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- David Howard Balaban
- Credential
- MD
- Primary taxonomy
- Specialist 174400000X
- License number
- 0101049501 VA
Self-reported in NPPES; status is on the state search - Practice location
- 1139 E High St, Charlottesville, VA 22902
- Phone
- (434) 817-8484
- Enumerated
- Jul 7, 2005
- Record last updated
- Jan 28, 2009 (not updated in 17 years: call before relying on the address or phone)
- Medicaid ID
- 005802431 VA
- Medicare enrollment
- Enrolled (PECOS I20100708000909); accepts Medicare assignment
- Medical or professional school
- University Of Maryland School Of Medicine, 1990
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest specialist records → All 798 in Virginia → Look up another NPI →
Also registered at 1139 E High St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Emily Christman, M.D.Gastroenterology Physician1083677199
- Diego Gomez, MDSpecialist1003815408
- Carly Hunt, MDAnesthesiology Physician1861406910
- Byrd Leavell, MDSpecialist1386641157
- Amy McDonnell, NPNurse Practitioner1770582702
- Virginia Michel, ANPAdult Health Nurse Practitioner1558360651
Verify David Howard Balaban in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 0101049501Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
7% fewer Medicare Part D claims than the average specialist in 2024
1,285 Medicare Part D claims for 411 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Pantoprazole Sodium173 claims
- Omeprazole129 claims
- Mesalamine95 claims
- Famotidine78 claims
- Peg 3350-Electrolyte76 claims
- Dicyclomine Hcl71 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): 80.8 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: $101.15
4 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 5,844 providers of this specialty with any payment received $4,760.79 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
- Gastroenterology Associates OF Northern Virginia, LLCCharlottesville, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
David Howard Balaban among 798 specialist records in Virginia
David Howard Balaban, MD is one of 798 specialist records with a practice address in Virginia. 30% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 82% newer
- In a Medicare fileYes · 30% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated1990 · median 1989 among the 167 with a school on file
- Record last updated2009 · 81% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Virginia
There are 798 specialist records in Virginia.
All 798 in Virginia → Every provider in Charlottesville → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Diego Gomez, MDCharlottesville, VA 229021003815408
- William Grant, M.D.Charlottesville, VA 229021760485981
- Byrd Leavell, MDCharlottesville, VA 229021386641157
- John Morris, M.D.Charlottesville, VA 229021659349314
- Michael Oblinger, MDCharlottesville, VA 229021174520951
- Daniel Pambianco, MDCharlottesville, VA 229021760489488
- John Post, M.D.Charlottesville, VA 229021063489672
- Sophia Abbott, RNCharlottesville, VA 229031295130540
Common questions
What is David Howard Balaban, MD's NPI number?
David Howard Balaban, MD's National Provider Identifier (NPI) is 1225035959, issued on Jul 7, 2005. An NPI identifies a provider in billing; it is not a license.
Where is David Howard Balaban, MD located?
The NPPES record lists a practice address at 1139 E High St, Charlottesville, VA, 22902. Phone: (434) 817-8484. Providers update this record themselves, so call before visiting.
How can I verify David Howard Balaban, MD's license?
NPPES lists Virginia license number 0101049501, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
How much does David Howard Balaban, MD prescribe under Medicare Part D?
In 2024, David Howard Balaban, MD had 1,285 Medicare Part D claims for 411 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is David Howard Balaban, MD's MIPS final score?
The 2023 MIPS final score is 80.8 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.