2026 NPPES data Family Medicine Physician NPI 1649619636 D.O
Verify on CMS →

DAVID BALOT, D.O

Family Medicine Physician in LINDENHURST, New York. 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
16K
Medicare Part D claims · 679 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$67.32
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID BALOT, D.O filed 15,749 Medicare Part D claims in 2023 as a Family Medicine Physician in LINDENHURST, New York, prescribing 85% generic.

16K
Part D claims, 2023
85%
generic prescribing
$67.32
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.

DAVID BALOT, D.O's Medicare Part D volume vs every U.S. prescriber

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

15,749 Top 2% higher than 98% 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%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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

Board-eligible specialty (heuristic — not verified)

DAVID BALOT, D.O practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DAVID BALOT, D.O?

Quality data not reported

NPI registry status

Active

Issued 06/23/2013

NPI 1649619636

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

15,749 361% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Family Medicine Physician share within New York

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

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).

DAVID BALOT, D.O appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O credentials at 150 E SUNRISE HWY, LINDENHURST, NY, 11757, with a listed phone of (631) 225-6200. NPI 1649619636 was issued on 06/23/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALOT 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 15,749 prescription claims written by this provider, covering 679 Medicare beneficiaries and totaling roughly $957K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 2.1%. 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

150 E SUNRISE HWY
LINDENHURST, NY 11757

Provider Details

NPI 1649619636
Specialty Family Medicine Physician
Credentials D.O
Gender Male
NPI Issued 06/23/2013

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 DAVID BALOT, D.O. Source: openpaymentsdata.cms.gov.

Total received

$67

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to DAVID BALOT, D.O. To verify DAVID BALOT, D.O's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DAVID BALOT, D.O — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 15,749 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.

15,749
Total Claims
$957K
Total Drug Cost
679
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,417
Total Day Supply
402,292
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$668K
Generic Drug Cost
$288K
Opioid Claims
332 (2.1% rate)
Antibiotic Claims
616

Patient Demographics

Average Patient Age
78.2 years
Avg HCC Risk Score
2.38
Gender Split
68% female / 32% male
Age Distribution
<65: 61, 65-74: 174, 75-84: 224, 85+: 220

Top Prescribed Drugs (Medicare Part D)

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

What DAVID BALOT, D.O 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
Furosemide
862
Levothyroxine Sodium
677
Amlodipine Besylate
581
Atorvastatin Calcium
519
Metoprolol Succinate
501
Famotidine
439
Eliquis
Apixaban
400
Gabapentin
392
Escitalopram Oxalate
377
Potassium Chloride
351

* 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 DAVID BALOT, D.O 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

DAVID BALOT, D.O's 15,749 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as BALOT.

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

Frequently Asked Questions

What is DAVID BALOT, D.O's specialty?
DAVID BALOT, D.O specializes in Family Medicine Physician and practices in LINDENHURST, New York. Credentials: D.O.
How much does DAVID BALOT, D.O prescribe under Medicare Part D?
In 2023, DAVID BALOT, D.O wrote 15,749 Medicare Part D claims totaling $957K in drug costs for 679 beneficiaries.
Where is DAVID BALOT, D.O located?
DAVID BALOT, D.O is located at 150 E SUNRISE HWY, LINDENHURST, NY, 11757. Phone: (631) 225-6200.
What is DAVID BALOT, D.O's NPI number?
DAVID BALOT, D.O's National Provider Identifier (NPI) is 1649619636, issued on 06/23/2013.
Does DAVID BALOT, D.O prescribe more brand-name or generic drugs?
DAVID BALOT, D.O's prescribing is 15% brand-name and 85% generic drugs by claim count, with $668K in brand drug costs.
Does DAVID BALOT, D.O prescribe opioids?
Yes, DAVID BALOT, D.O had 332 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
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 DAVID BALOT, D.O prescribe most often?
Based on 2023 Medicare Part D data, DAVID BALOT, D.O's most frequently prescribed drugs include Furosemide, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID BALOT, D.O accept Medicare?
DAVID BALOT, D.O appears in CMS Medicare data with 15,749 Part D claims and 679 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID BALOT, D.O's credentials?
DAVID BALOT, D.O's NPI is 1649619636 with credentials D.O. 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