2026 NPPES data Physician Assistant NPI 1508200452 PA-C
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DENNIS BALOUGH, PA-C

Physician Assistant in CARMICHAEL, California. 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
305
Medicare Part D claims · 143 beneficiaries · Physician Assistant avg: 790
What the federal data reveals: DENNIS BALOUGH, PA-C is a Physician Assistant ([object Object]) practicing in CARMICHAEL, California with a Medicare Part D prescribing footprint of 305 claims across 143 beneficiaries .

What stands out: DENNIS BALOUGH, PA-C filed 305 Medicare Part D claims in 2023 across CARMICHAEL, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DENNIS BALOUGH, PA-C at a glance

Quality data not reported

NPI registry status

Active

Issued 04/22/2013

NPI 1508200452

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

305 61% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers

Physician Assistant share within California

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within California

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

DENNIS BALOUGH, PA-C is a Physician Assistant provider practicing in CARMICHAEL, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1508200452. 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.

DENNIS BALOUGH, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 6403 COYLE AVE STE 170, CARMICHAEL, CA, 95608, with a listed phone of (916) 965-4000. NPI 1508200452 was issued on 04/22/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALOUGH 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 305 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 48.2%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

6403 COYLE AVE STE 170
CARMICHAEL, CA 95608

Provider Details

NPI 1508200452
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 04/22/2013

Hospital and facility affiliations

Facilities where DENNIS BALOUGH, PA-C 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.

PERMANENTE MEDICAL GROUP INC
STOCKTON, CA

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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to DENNIS BALOUGH, PA-C. To verify DENNIS BALOUGH, PA-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

305
Total Claims
$6K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
308
Total Day Supply
2,942
Generic Drug Cost
$6K
Opioid Claims
147 (48.2% rate)

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
0.93
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
114
Naloxone Hcl
64
Ondansetron Odt
Ondansetron
64
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
21

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

Physician Assistant Overview

How DENNIS BALOUGH, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

DENNIS BALOUGH, PA-C's 305 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in California

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is DENNIS BALOUGH, PA-C's specialty?
DENNIS BALOUGH, PA-C specializes in Physician Assistant and practices in CARMICHAEL, California. Credentials: PA-C.
How much does DENNIS BALOUGH, PA-C prescribe under Medicare Part D?
In 2023, DENNIS BALOUGH, PA-C wrote 305 Medicare Part D claims totaling $6K in drug costs for 143 beneficiaries.
Where is DENNIS BALOUGH, PA-C located?
DENNIS BALOUGH, PA-C is located at 6403 COYLE AVE STE 170, CARMICHAEL, CA, 95608. Phone: (916) 965-4000.
What is DENNIS BALOUGH, PA-C's NPI number?
DENNIS BALOUGH, PA-C's National Provider Identifier (NPI) is 1508200452, issued on 04/22/2013.
Does DENNIS BALOUGH, PA-C prescribe opioids?
Yes, DENNIS BALOUGH, PA-C had 147 opioid claims in 2023 with an opioid prescribing rate of 48.2%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does DENNIS BALOUGH, PA-C prescribe most often?
Based on 2023 Medicare Part D data, DENNIS BALOUGH, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Naloxone Hcl, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DENNIS BALOUGH, PA-C accept Medicare?
DENNIS BALOUGH, PA-C appears in CMS Medicare data with 305 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DENNIS BALOUGH, PA-C's credentials?
DENNIS BALOUGH, PA-C's NPI is 1508200452 with credentials PA-C. 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