Emilio H. Balius, O.D.
Optometrist · Coral Gables, FL
Emilio H. Balius, O.D. is an optometrist with a practice address in Coral Gables, Florida, and NPI 1619978509, issued on Aug 2, 2005. Check the license (Florida OP0002485, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Emilio H. Balius
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License number
- OP0002485 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1097 S LE Jeune RD, Coral Gables, FL 33134
- Phone
- (305) 442-2021
- Enumerated
- Aug 2, 2005
- Record last updated
- Jun 19, 2024
- Fax
- (305) 442-1498
- Medicaid ID
- 120805400 FL
- Medicare enrollment
- Enrolled (PECOS I20040621002009); accepts Medicare assignment
- Medical or professional school
- University Of Houston - College Of Optometry, 1991
- Entity
- Type 1 · individual
8 nearest optometrist records → All 3,594 in Florida → Look up another NPI →
Also registered at 1097 S LE Jeune RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mark CiminiOptometrist1740889385
- Dale Davis, M.D.Ophthalmology Physician1700887445
- Ahad DeenOphthalmology Physician1174215701
- Hector Laurencio, M.D.Ophthalmology Physician1700887940
Verify Emilio H. Balius in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license OP0002485Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
6% fewer Medicare Part D claims than the average optometrist in 2024
259 Medicare Part D claims for 71 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 75% of claims.
Most prescribed
- Latanoprost69 claims
- Lumigan54 claims
- Brimonidine Tartrate21 claims
- Combigan21 claims
- Brimonidine Tartrate-Timolol18 claims
- Rhopressa12 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 practice group's MIPS final score for 2023 (Medicare payment program): 93.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $556.00
8 payments; by number, the most common kind was food and beverage; the largest payer was Sun Pharmaceutical Industries Inc. The 34,453 providers of this specialty with any payment received $769.99 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
- Aran Eye Associates PACoral Gables, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Emilio H. Balius among 3,594 optometrist records in Florida
Emilio H. Balius, O.D. is one of 3,594 optometrist records with a practice address in Florida. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 91% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 51% of these records are
- Graduated1991 · median 2006 among the 1,833 with a school on file
- Record last updated2024 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Florida
There are 3,594 optometrist records in Florida.
All 3,594 in Florida → Every provider in Coral Gables → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Armando Angulo, O.D.Coral Gables, FL 331341326234048
- Seema Bhadsavle, O.D.Coral Gables, FL 331341881912756
- Ellen Chasens, O.D.Coral Gables, FL 331341104883370
- Barry Eichenbaum, ODCoral Gables, FL 331341023007317
- Alejandro Fernandez Veras, D.O.Coral Gables, FL 331341588852230
- Jeannine Gutierrez, O.D.Coral Gables, FL 331341790169472
- Miriam Mendivil, O.DCoral Gables, FL 331341194962126
- Afrouz Motedaeiny, ODCoral Gables, FL 331341093970063
Common questions
What is Emilio H. Balius, O.D.'s NPI number?
Emilio H. Balius, O.D.'s National Provider Identifier (NPI) is 1619978509, issued on Aug 2, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Emilio H. Balius, O.D. located?
The NPPES record lists a practice address at 1097 S LE Jeune RD, Coral Gables, FL, 33134. Phone: (305) 442-2021. Providers update this record themselves, so call before visiting.
How can I verify Emilio H. Balius, O.D.'s license?
NPPES lists Florida license number OP0002485, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Emilio H. Balius, O.D. prescribe under Medicare Part D?
In 2024, Emilio H. Balius, O.D. had 259 Medicare Part D claims for 71 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.
What is Emilio H. Balius, O.D.'s MIPS final score?
The 2023 MIPS final score is 93.6 of 100, reported for the practice group. 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.