NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1013022920 MD
Verify on CMS → Gary Balian, MD
Psychiatry Physician in Lapeer, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 53,171 in Psychiatry 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
3K
Medicare Part D claims · 220 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Gary Balian, MD filed 3,079 Medicare Part D claims in 2023 as a Psychiatry Physician in Lapeer, Michigan, prescribing >99% generic.
- 3K
- Part D claims, 2023
- >99%
- generic prescribing
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.
Gary Balian, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,079 Top 11% higher than 89% of 1,370,886 prescribers
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)
Gary Balian, 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 Gary Balian, MD?
Quality data not reportedPrimary specialty
Psychiatry Physician
Medicare Part D claims
3,079 197% vs specialty avg
Specialty distribution in Michigan
How Psychiatry Physician compares to other specialties among Michigan 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 Psychiatry Physician. Verify directly:
How MIPS and board certification work
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).
Gary Balian, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 1254 N MAIN ST, Lapeer, MI, 48446, with a listed phone of (810) 664-4531. NPI 1013022920 was issued on 08/20/2006.
Medicare Part D records for calendar year 2023 show 3,079 prescription claims written by this provider, covering 220 Medicare beneficiaries and totaling roughly $153K in drug spend, split <1% brand-name and >99% generic by claim count.
Psychiatry Physician is a high-volume specialty nationwide, with 53,171 enrolled providers across 56 states and an average of 1,038 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
Provider Details
| NPI | 1013022920 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/20/2006 |
License & disciplinary context - Michigan MI-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Gary Balian, MD. To verify Gary Balian, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Gary Balian, MD - brand share 1.0%
Psychiatry Physician average
<1% brand-name claims vs >99% generic, on 3,079 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.
3,079
Total Claims
$153K
Total Drug Cost
220
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,087
- Total Day Supply
- 118,662
- Brand vs Generic
- <1% brand / >99% generic
- Brand Drug Cost
- $13K
- Generic Drug Cost
- $139K
Patient Demographics
- Average Patient Age
- 64.5 years
- Avg HCC Risk Score
- 1.29
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 89, 65-74: 96, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gary Balian, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trazodone Hcl
Trazodone Hcl
312 claims
- Escitalopram Oxalate
Escitalopram Oxalate
240 claims
- Quetiapine Fumarate
Quetiapine Fumarate
229 claims
- Bupropion Xl
Bupropion Xl
209 claims
- Fluoxetine Hcl
Fluoxetine Hcl
193 claims
- Hydroxyzine Hcl
Hydroxyzine Hcl
168 claims
- Sertraline Hcl
Sertraline Hcl
163 claims
- Lamotrigine
Lamotrigine
154 claims
| Drug | Claims |
|---|---|
| Trazodone Hcl | 312 |
| Escitalopram Oxalate | 240 |
| Quetiapine Fumarate | 229 |
| Bupropion Xl Bupropion Hcl | 209 |
| Fluoxetine Hcl | 193 |
| Hydroxyzine Hcl | 168 |
| Sertraline Hcl | 163 |
| Lamotrigine | 154 |
| Mirtazapine | 127 |
| Aripiprazole | 111 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Gary Balian, MD fits within the Psychiatry Physician landscape nationally.
53,171
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider
Gary Balian, MD's 3,079 claims are above the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Balian.
Dr. Aisha Abbasi
M.D.
West Bloomfield, MI
Dr. Farha Abbasi
M.D.
East Lansing, MI
Dr. Tariq Abbasi
MD
Southfield, MI
Dr. Nicholas Abbey
MD
Grand Rapids, MI
Salman Abdul Majeed
Grand Rapids, MI
Compare Psychiatry 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatry 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Michigan
Frequently Asked Questions
What is Gary Balian, MD's specialty? ▼
Gary Balian, MD specializes in Psychiatry Physician and practices in Lapeer, Michigan. Credentials: MD.
How much does Gary Balian, MD prescribe under Medicare Part D? ▼
In 2023, Gary Balian, MD wrote 3,079 Medicare Part D claims totaling $153K in drug costs for 220 beneficiaries.
Where is Gary Balian, MD located? ▼
Gary Balian, MD is located at 1254 N MAIN ST, Lapeer, MI, 48446. Phone: (810) 664-4531.
What is Gary Balian, MD's NPI number? ▼
Gary Balian, MD's National Provider Identifier (NPI) is 1013022920, issued on 08/20/2006.
Does Gary Balian, MD prescribe more brand-name or generic drugs? ▼
Gary Balian, MD's prescribing is <1% brand-name and >99% generic drugs by claim count, with $13K in brand drug costs.
How many Psychiatry Physician providers are there in the US? ▼
There are 53,171 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Gary Balian, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Gary Balian, MD's most frequently prescribed drugs include Trazodone Hcl, Escitalopram Oxalate, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gary Balian, MD accept Medicare? ▼
Gary Balian, MD appears in CMS Medicare data with 3,079 Part D claims and 220 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gary Balian, MD's credentials? ▼
Gary Balian, MD's NPI is 1013022920 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
View source datasets and methodology notes
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.