Edward Michael Balok, M.D.
Ophthalmology Physician · East China, MI
Edward Michael Balok, M.D. is an ophthalmology physician with a practice address in East China, Michigan, and NPI 1609884220, issued on Aug 3, 2006. Check the license (Michigan EB055964, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.
- Name
- Edward Michael Balok
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- EB055964 MI
Self-reported in NPPES; status is on the state search - Practice location
- 4050 River RD, East China, MI 48054
- Phone
- (810) 329-9045
- Enumerated
- Aug 3, 2006
- Record last updated
- Aug 9, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (810) 329-8732
- Medicaid ID
- 103283901 MI
- Medicare enrollment
- Enrolled (PECOS I20120125000683); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 1990
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 791 in Michigan → Look up another NPI →
Also registered at 4050 River RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Randall Kamlay, ODOptometrist1093820532
Verify Edward Michael Balok in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
Search for license EB055964Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% more Medicare Part D claims than the average ophthalmology physician in 2024
2,247 Medicare Part D claims for 655 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.
Most prescribed
- Latanoprost637 claims
- Prednisolone Acetate415 claims
- Ketorolac Tromethamine385 claims
- Dorzolamide-Timolol155 claims
- Timolol Maleate118 claims
- Lumigan108 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 MIPS final score for 2023 (Medicare payment program): 89.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $983.63
16 payments; by number, the most common kind was food and beverage; the largest payer was Biotissue Holdings Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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
- Riverside Eye Center PCEast China, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Edward Michael Balok among 791 ophthalmology physician records in Michigan
Edward Michael Balok, M.D. is one of 791 ophthalmology physician records with a practice address in Michigan. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 22% of them.
- NPI issued2006 · 22% of these records are older, 46% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated1990 · median 2002 among the 548 with a school on file
- Record last updated2010 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 ophthalmology physician record lists a practice address in East China
They are 1 of the 62 NPPES records with a practice address in East China, and 791 ophthalmology physician records in Michigan.
All 791 in Michigan → Every provider in East China → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Dan Deligianis, M.D.Fort Gratiot, MI 480591558591990
- Fahim Ibrahim, MDFort Gratiot, MI 480591376611251
- Scott Barton, D.O.Port Huron, MI 480601588659593
- Brian Favero, M.D.Port Huron, MI 480601639130024
- Kevin Johnson, M.D.Port Huron, MI 480601184721599
- Bryan Mazey, D.O.New Baltimore, MI 480471730165846
- Richard Watnick, MDRoseville, MI 480661144211699
- David Manzo, M.D.Royal Oak, MI 480671386648103
Common questions
What is Edward Michael Balok, M.D.'s NPI number?
Edward Michael Balok, M.D.'s National Provider Identifier (NPI) is 1609884220, issued on Aug 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Edward Michael Balok, M.D. located?
The NPPES record lists a practice address at 4050 River RD, East China, MI, 48054. Phone: (810) 329-9045. Providers update this record themselves, so call before visiting.
How can I verify Edward Michael Balok, M.D.'s license?
NPPES lists Michigan license number EB055964, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Edward Michael Balok, M.D. prescribe under Medicare Part D?
In 2024, Edward Michael Balok, M.D. had 2,247 Medicare Part D claims for 655 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Edward Michael Balok, M.D.'s MIPS final score?
The 2023 MIPS final score is 89.4 of 100. 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.