Gayle Phadungchai Balba, M.D.
Infectious Disease Physician · Washington, DC
Gayle Phadungchai Balba, M.D. is an infectious disease physician with a practice address in Washington, District of Columbia, and NPI 1073570354, issued on Apr 28, 2006. Check the license (District of Columbia MD31818, as entered in NPPES) on the District of Columbia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Gayle Phadungchai Balba
- Credential
- M.D.
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- MD31818 DC
Self-reported in NPPES; status is on the state search - Practice location
- 3800 Reservoir RD NW, Washington, DC 20007
- Phone
- (202) 687-6845
- Enumerated
- Apr 28, 2006
- Record last updated
- Jun 26, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (202) 687-6476
- Medicare enrollment
- Enrolled (PECOS I20080325000457); accepts Medicare assignment
- Medical or professional school
- Georgetown University School Of Medicine, 1998
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 110 in District of Columbia → Look up another NPI →
Also registered at 3800 Reservoir RD NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Gayle Phadungchai Balba in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersDistrict of Columbia Board of Medicine
Search for license MD31818Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4% fewer Medicare Part D claims than the average infectious disease physician in 2024
661 Medicare Part D claims for 84 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.
Most prescribed
- Tivicay71 claims
- Juluca53 claims
- Descovy40 claims
- Biktarvy37 claims
- Prezcobix32 claims
- Entecavir22 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): 76.6 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).
Bills Medicare through 2 group practices
- Medstar Medical Group II LLCWashington, DC
- Mgmc LLCWashington, DC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Gayle Phadungchai Balba among 110 infectious disease physician records in District of Columbia
Gayle Phadungchai Balba, M.D. is one of 110 infectious disease physician records with a practice address in District of Columbia. 59% 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 6% of them.
- NPI issued2006 · 6% of these records are older, 49% newer
- In a Medicare fileYes · 59% of these records are
- In the CMS Doctors and Clinicians fileYes · 42% of these records are
- Graduated1998 · median 1998 among the 46 with a school on file
- Record last updated2009 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a District of Columbia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in District of Columbia
There are 110 infectious disease physician records in District of Columbia.
All 110 in District of Columbia → Every provider in Washington → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Ronald Beaulieu, MDWashington, DC 200071508252057
- Matthew Copeland, D.O.Washington, DC 200071396130944
- Grace Demarco, MDWashington, DC 200071801424700
- Bruce GellinWashington, DC 200071649198946
- Princy KumarWashington, DC 200071790784957
- Rebecca Kumar, M.D.Washington, DC 200071437544517
- Andrea Meyerhoff, M.D.Washington, DC 200071912197096
- Bernardine Mohanraj, M.D.Washington, DC 200071790978401
Common questions
What is Gayle Phadungchai Balba, M.D.'s NPI number?
Gayle Phadungchai Balba, M.D.'s National Provider Identifier (NPI) is 1073570354, issued on Apr 28, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gayle Phadungchai Balba, M.D. located?
The NPPES record lists a practice address at 3800 Reservoir RD NW, Washington, DC, 20007. Phone: (202) 687-6845. Providers update this record themselves, so call before visiting.
How can I verify Gayle Phadungchai Balba, M.D.'s license?
NPPES lists District of Columbia license number MD31818, as entered by the provider. Search the District of Columbia Board of Medicine at https://dchealth.dc.gov/bomed. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gayle Phadungchai Balba, M.D. prescribe under Medicare Part D?
In 2024, Gayle Phadungchai Balba, M.D. had 661 Medicare Part D claims for 84 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Gayle Phadungchai Balba, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.6 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.