NPPES file of Aug 9, 2026

Ernesto E. Banalagay, M.D.

Nephrology Physician · Portsmouth, OH

Ernesto E. Banalagay, M.D. is a nephrology physician with a practice address in Portsmouth, Ohio, and NPI 1629135470, issued on Jan 2, 2007. Check the license (Ohio 35073970, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629135470
Name
Ernesto E. Banalagay
Credential
M.D.
Primary taxonomy
Nephrology Physician 207RN0300X
License number
35073970 OH
Self-reported in NPPES; status is on the state search
Practice location
1711 27TH St, Portsmouth, OH 45662
Phone
(740) 356-5393
Enumerated
Jan 2, 2007
Record last updated
Dec 16, 2024
Fax
(740) 356-7804
Medicaid ID
2062995 OH
Medicare enrollment
Enrolled (PECOS I20120215000935); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1711 27TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lynsey Arey, NPNurse Practitioner1023436292
  2. Jeffery Bobo, MMSC, PA-CPhysician Assistant1265798003
  3. Jonathan Crist, SA-CSurgical Assistant1649518424
  4. Thomas Khoury, M.D.Surgery Physician1306838719
  5. Tina Morgan, MS, APRN, FNPFamily Nurse Practitioner1952912958
  6. Ricardo Orozco, SA-CSurgical Assistant1629316435

Verify Ernesto E. Banalagay in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35073970
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

61% fewer Medicare Part D claims than the average nephrology physician in 2024

573 Medicare Part D claims for 118 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.

  1. Ernesto Banalagay573
  2. Specialty average1,465

Most prescribed

  1. Sevelamer Carbonate134 claims
  2. Calcitriol77 claims
  3. Furosemide51 claims
  4. Lokelma42 claims
  5. Amlodipine Besylate33 claims
  6. Lisinopril33 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): 94.7 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.

  1. Qualityout of 100 · 30% of the final score83.0
  2. Costout of 100 · 30%72.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $119.67

11 payments; by number, the most common kind was education; the largest payer was Travere Therapeutics, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ernesto Banalagay$119.67
  2. Specialty average$3,091.37

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Ernesto E. Banalagay among 499 nephrology physician records in Ohio

Ernesto E. Banalagay, M.D. is one of 499 nephrology physician records with a practice address in Ohio. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.

  • NPI issued2007 · 48% of these records are older, 39% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated1981 · median 2002 among the 374 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 207RN0300X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nephrology Physician providers in Ohio

There are 499 nephrology physician records in Ohio.

The 8 nephrology physician records with the nearest ZIP codes

  1. Reena Samuel, M.D.Portsmouth, OH 456621629135462
  2. Raja Sinha, MDPortsmouth, OH 456621508210014
  3. Rajesh Rajan, M.D.Gallipolis, OH 456311154642098
  4. Beenu Singh, MBBSGallipolis, OH 456311376817775
  5. Staci Smith, DOGallipolis, OH 456311558576454
  6. Christopher Brown, MDChillicothe, OH 456011912958935
  7. Frank Cosentino, D.O.Chillicothe, OH 456011285632141
  8. Gopi Gundumalla, MDChillicothe, OH 456011003887381

Common questions

What is Ernesto E. Banalagay, M.D.'s NPI number?

Ernesto E. Banalagay, M.D.'s National Provider Identifier (NPI) is 1629135470, issued on Jan 2, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Ernesto E. Banalagay, M.D. located?

The NPPES record lists a practice address at 1711 27TH St, Portsmouth, OH, 45662. Phone: (740) 356-5393. Providers update this record themselves, so call before visiting.

How can I verify Ernesto E. Banalagay, M.D.'s license?

NPPES lists Ohio license number 35073970, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ernesto E. Banalagay, M.D. prescribe under Medicare Part D?

In 2024, Ernesto E. Banalagay, M.D. had 573 Medicare Part D claims for 118 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.

What is Ernesto E. Banalagay, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.7 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.