2026 NPPES data Family Medicine Physician NPI 1508893199 MD
Verify on CMS →

DOUGLAS BALLAN, MD

Family Medicine Physician in FANWOOD, New Jersey. 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
22
Medicare Part D claims · Family Medicine Physician avg: 3K
What the federal data reveals: DOUGLAS BALLAN, MD is a Family Medicine Physician ([object Object]) practicing in FANWOOD, New Jersey with a Medicare Part D prescribing footprint of 22 claims .

What stands out: DOUGLAS BALLAN, MD filed 22 Medicare Part D claims in 2023 across FANWOOD, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

DOUGLAS BALLAN, MD 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).

DOUGLAS BALLAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/27/2006

NPI 1508893199

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

22 99% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New Jersey

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

New Jersey providers

Family Medicine Physician share within New Jersey

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

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).

DOUGLAS BALLAN, MD is a Family Medicine Physician provider practicing in FANWOOD, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1508893199. 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.

DOUGLAS BALLAN, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 45 ELM AVE, FANWOOD, NJ, 07023, with a listed phone of (908) 279-3477. NPI 1508893199 was issued on 06/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLAN 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 22 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $253 in drug spend. 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

45 ELM AVE
FANWOOD, NJ 07023

Provider Details

NPI 1508893199
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/27/2006

Medicare Part D Prescribing Data

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

22
Total Claims
$253
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22
Total Day Supply
616
Brand Drug Cost
$0
Generic Drug Cost
$253

Patient Demographics

Average Patient Age
95.0 years
Avg HCC Risk Score
1.43

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
11
Metoprolol Succinate
11

* 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 DOUGLAS BALLAN, MD 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

DOUGLAS BALLAN, MD's 22 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is DOUGLAS BALLAN, MD's specialty?
DOUGLAS BALLAN, MD specializes in Family Medicine Physician and practices in FANWOOD, New Jersey. Credentials: MD.
How much does DOUGLAS BALLAN, MD prescribe under Medicare Part D?
In 2023, DOUGLAS BALLAN, MD wrote 22 Medicare Part D claims totaling $253 in drug costs for N/A beneficiaries.
Where is DOUGLAS BALLAN, MD located?
DOUGLAS BALLAN, MD is located at 45 ELM AVE, FANWOOD, NJ, 07023. Phone: (908) 279-3477.
What is DOUGLAS BALLAN, MD's NPI number?
DOUGLAS BALLAN, MD's National Provider Identifier (NPI) is 1508893199, issued on 06/27/2006.
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 DOUGLAS BALLAN, MD prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS BALLAN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS BALLAN, MD accept Medicare?
DOUGLAS BALLAN, MD appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS BALLAN, MD's credentials?
DOUGLAS BALLAN, MD's NPI is 1508893199 with credentials MD. 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