Frank G. Baloh, MD
Ophthalmology Physician · Allentown, PA
Frank G. Baloh, MD is an ophthalmology physician with a practice address in Allentown, Pennsylvania, and NPI 1538113865, issued on May 20, 2006. Check the license (Pennsylvania MD055635L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Frank G. Baloh
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- MD055635L PA
Self-reported in NPPES; status is on the state search - Practice location
- 400 N 17TH St, Allentown, PA 18104
- Phone
- (610) 433-0450
- Enumerated
- May 20, 2006
- Record last updated
- Apr 17, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (610) 433-4655
- Medicaid ID
- 01563700 PA
- Medicare enrollment
- Enrolled (PECOS I20110331000301); accepts Medicare assignment
- Medical or professional school
- Pennsylvania State University College Of Medicine, 1990
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 1,088 in Pennsylvania → Look up another NPI →
Also registered at 400 N 17TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Charlene Anderson, CRNACertified Registered Nurse Anesthetist1730176629
- Leah Bonaparte-Dotta, M.D.Ophthalmology Physician1487092490
- Harry Buchanan, M.D.Ophthalmology Physician1538246756
- Thomas Burkholder, MDOphthalmology Physician1760425581
- Carmel Castagna, CRNACertified Registered Nurse Anesthetist1164419032
- Michele Felix, LCSWClinical Social Worker1215112198
Verify Frank G. Baloh in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD055635LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% fewer Medicare Part D claims than the average ophthalmology physician in 2024
1,367 Medicare Part D claims for 751 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 44% of claims. 227 claims were for opioids.
Most prescribed
- Neomycin-Polymyxin-Dexameth550 claims
- Erythromycin263 claims
- Acetaminophen-Codeine225 claims
- Restasis58 claims
- Prednisolone Acetate55 claims
- Tobramycin-Dexamethasone40 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): 100 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: $52.86
2 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. 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 2 group practices
- Lehigh Valley Eye Center, P.C.Allentown, PA
- Pocono Eye Associates IncBrodheadsville, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Frank G. Baloh among 1,088 ophthalmology physician records in Pennsylvania
Frank G. Baloh, MD is one of 1,088 ophthalmology physician records with a practice address in Pennsylvania. 81% 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, 40% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1990 · median 2000 among the 734 with a school on file
- Record last updated2020 · 64% 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 Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in Pennsylvania
There are 1,088 ophthalmology physician records in Pennsylvania.
All 1,088 in Pennsylvania → Every provider in Allentown → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Houman Ahdieh, M.D.Allentown, PA 181041659371060
- Lisa Bunin, MDAllentown, PA 181041154397875
- Thomas Burkholder, MDAllentown, PA 181041760425581
- Harvey Cheng, M.D.Allentown, PA 181041679579254
- Harold Goldfarb, MDAllentown, PA 181041396706297
- Howard Kushnick, MDAllentown, PA 181041326093006
- Alan Listhaus, MDAllentown, PA 181041205881992
- George McGinley, MDAllentown, PA 181041275506529
Common questions
What is Frank G. Baloh, MD's NPI number?
Frank G. Baloh, MD's National Provider Identifier (NPI) is 1538113865, issued on May 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Frank G. Baloh, MD located?
The NPPES record lists a practice address at 400 N 17TH St, Allentown, PA, 18104. Phone: (610) 433-0450. Providers update this record themselves, so call before visiting.
How can I verify Frank G. Baloh, MD's license?
NPPES lists Pennsylvania license number MD055635L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Frank G. Baloh, MD prescribe under Medicare Part D?
In 2024, Frank G. Baloh, MD had 1,367 Medicare Part D claims for 751 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Frank G. Baloh, MD's MIPS final score?
The 2023 MIPS final score is 100 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.