2026 NPPES data Nephrology Physician NPI 1942219563 MD
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GEETHA BALASUBRAMANIAN, MD

Nephrology Physician in LAKE ST LOUIS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
976
Medicare Part D claims · 162 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$51.87
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GEETHA BALASUBRAMANIAN, MD is a Nephrology Physician ([object Object]) practicing in LAKE ST LOUIS, Missouri with a Medicare Part D prescribing footprint of 976 claims across 162 beneficiaries — 9% brand-name prescribing . Industry payments of $51.87 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GEETHA BALASUBRAMANIAN, MD filed 976 Medicare Part D claims in 2023 across LAKE ST LOUIS, Missouri. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

GEETHA BALASUBRAMANIAN, 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).

GEETHA BALASUBRAMANIAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/05/2006

NPI 1942219563

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

976 33% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Missouri

How Nephrology Physician compares to other specialties among Missouri providers

Missouri providers

Nephrology Physician share within Missouri

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

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).

GEETHA BALASUBRAMANIAN, MD is a Nephrology Physician provider practicing in LAKE ST LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1942219563. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GEETHA BALASUBRAMANIAN, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1000 EDGEWATER PT STE 303, LAKE ST LOUIS, MO, 63367, with a listed phone of (636) 265-2225. NPI 1942219563 was issued on 08/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALASUBRAMANIAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 976 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $65K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 2.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1000 EDGEWATER PT STE 303
LAKE ST LOUIS, MO 63367

Provider Details

NPI 1942219563
Specialty Nephrology Physician
Credentials MD
Gender Female
NPI Issued 08/05/2006

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GEETHA BALASUBRAMANIAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$52

Largest payer

Otsuka America Pharmaceutical, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

GEETHA BALASUBRAMANIAN, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 976 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.

976
Total Claims
$65K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,637
Total Day Supply
47,375
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$41K
Generic Drug Cost
$24K
Opioid Claims
23 (2.4% rate)
Antibiotic Claims
26

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
3.40
Gender Split
46% female / 54% male
Age Distribution
<65: 32, 65-74: 66, 75-84: 45, 85+: 19

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Furosemide
113
Amlodipine Besylate
73
Torsemide
61
Hydralazine Hcl
57
Sevelamer Carbonate
46
Losartan Potassium
36
Spironolactone
32
Tamsulosin Hcl
31
Potassium Chloride
30
Metoprolol Tartrate
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How GEETHA BALASUBRAMANIAN, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

GEETHA BALASUBRAMANIAN, MD's 976 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as BALASUBRAMANIAN.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GEETHA BALASUBRAMANIAN, MD's specialty?
GEETHA BALASUBRAMANIAN, MD specializes in Nephrology Physician and practices in LAKE ST LOUIS, Missouri. Credentials: MD.
How much does GEETHA BALASUBRAMANIAN, MD prescribe under Medicare Part D?
In 2023, GEETHA BALASUBRAMANIAN, MD wrote 976 Medicare Part D claims totaling $65K in drug costs for 162 beneficiaries.
Where is GEETHA BALASUBRAMANIAN, MD located?
GEETHA BALASUBRAMANIAN, MD is located at 1000 EDGEWATER PT STE 303, LAKE ST LOUIS, MO, 63367. Phone: (636) 265-2225.
What is GEETHA BALASUBRAMANIAN, MD's NPI number?
GEETHA BALASUBRAMANIAN, MD's National Provider Identifier (NPI) is 1942219563, issued on 08/05/2006.
Does GEETHA BALASUBRAMANIAN, MD prescribe more brand-name or generic drugs?
GEETHA BALASUBRAMANIAN, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $41K in brand drug costs.
Does GEETHA BALASUBRAMANIAN, MD prescribe opioids?
Yes, GEETHA BALASUBRAMANIAN, MD had 23 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does GEETHA BALASUBRAMANIAN, MD prescribe most often?
Based on 2023 Medicare Part D data, GEETHA BALASUBRAMANIAN, MD's most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Torsemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GEETHA BALASUBRAMANIAN, MD accept Medicare?
GEETHA BALASUBRAMANIAN, MD appears in CMS Medicare data with 976 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GEETHA BALASUBRAMANIAN, MD's credentials?
GEETHA BALASUBRAMANIAN, MD's NPI is 1942219563 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

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