2026 NPPES data Internal Medicine Physician NPI 1467421339 MD
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Elsaid Balboul, MD

Internal Medicine Physician in Wayne, New Jersey. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 296 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$242.96
10 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Elsaid Balboul, MD filed 8,151 Medicare Part D claims in 2023 as a Internal Medicine Physician in Wayne, New Jersey, prescribing 86% generic.

8K
Part D claims, 2023
86%
generic prescribing
$242.96
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.

Elsaid Balboul, MD's Medicare Part D volume vs every U.S. prescriber

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

8,151 Top 3% higher than 97% 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. 2K+: 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)

Elsaid Balboul, 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).

What does the federal data show about Elsaid Balboul, MD?

Quality data not reported

NPI registry status

Active

Issued 03/14/2006

NPI 1467421339

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

8,151 200% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in New Jersey

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

New Jersey providers

Largest specialties in New Jersey (% of in-state providers)

Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 5.9%Physical Therapist5.9%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 5.4%Student in an Organized Health Care Education/Training Program5.4%Pharmacist - 5%Pharmacist5%Internal Medicine Physician - 3.1%Internal Medicine Physician3.1%
Largest specialties in New Jersey (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:

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).

Elsaid Balboul, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 508 HAMBURG TPKE, Wayne, NJ, 07470, with a listed phone of (973) 942-1340. NPI 1467421339 was issued on 03/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Balboul 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 8,151 prescription claims written by this provider, covering 296 Medicare beneficiaries and totaling roughly $906K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.8%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

508 HAMBURG TPKE
Wayne, NJ 07470

Provider Details

NPI 1467421339
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/14/2006

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 Elsaid Balboul, MD. Source: openpaymentsdata.cms.gov.

Total received

$243

Largest payer

Neurocrine Biosciences, 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.

Brand vs generic prescribing mix · Typical

Elsaid Balboul, MD - brand share 13.0%
Internal Medicine Physician average

13% brand-name claims vs 86% generic, on 8,151 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.

8,151
Total Claims
$906K
Total Drug Cost
296
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,404
Total Day Supply
302,477
Brand vs Generic
13% brand / 86% generic
Brand Drug Cost
$706K
Generic Drug Cost
$198K
Opioid Claims
309 (3.8% rate)
Antibiotic Claims
237

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
2.04
Gender Split
57% female / 43% male
Age Distribution
<65: 36, 65-74: 120, 75-84: 85, 85+: 55

Top Prescribed Drugs (Medicare Part D)

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

What Elsaid Balboul, MD 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
Atorvastatin Calcium
375
Amlodipine Besylate
280
Levothyroxine Sodium
218
Pantoprazole Sodium
214
Gabapentin
206
Metoprolol Succinate
174
Eliquis
Apixaban
166
Lisinopril
153
Metformin Hcl
151
Clonazepam
142

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

Internal Medicine Physician Overview

How Elsaid Balboul, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Elsaid Balboul, MD's 8,151 claims are above the specialty average of 2,716.

Nearby Internal 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 Balboul.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Elsaid Balboul, MD's specialty?
Elsaid Balboul, MD specializes in Internal Medicine Physician and practices in Wayne, New Jersey. Credentials: MD.
How much does Elsaid Balboul, MD prescribe under Medicare Part D?
In 2023, Elsaid Balboul, MD wrote 8,151 Medicare Part D claims totaling $906K in drug costs for 296 beneficiaries.
Where is Elsaid Balboul, MD located?
Elsaid Balboul, MD is located at 508 HAMBURG TPKE, Wayne, NJ, 07470. Phone: (973) 942-1340.
What is Elsaid Balboul, MD's NPI number?
Elsaid Balboul, MD's National Provider Identifier (NPI) is 1467421339, issued on 03/14/2006.
Does Elsaid Balboul, MD prescribe more brand-name or generic drugs?
Elsaid Balboul, MD's prescribing is 13% brand-name and 86% generic drugs by claim count, with $706K in brand drug costs.
Does Elsaid Balboul, MD prescribe opioids?
Yes, Elsaid Balboul, MD had 309 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Elsaid Balboul, MD prescribe most often?
Based on 2023 Medicare Part D data, Elsaid Balboul, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elsaid Balboul, MD accept Medicare?
Elsaid Balboul, MD appears in CMS Medicare data with 8,151 Part D claims and 296 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elsaid Balboul, MD's credentials?
Elsaid Balboul, MD's NPI is 1467421339 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

Compiled from official public sources by the PlainDoctor editorial team.