Gokulakrishnan Balasubramanian, M.D.
Gastroenterology Physician in Milwaukee, Wisconsin. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Gokulakrishnan Balasubramanian, M.D. filed 372 Medicare Part D claims in 2023 as a Gastroenterology Physician in Milwaukee, Wisconsin, prescribing 72% generic.
- 372
- Part D claims, 2023
- 72%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Gokulakrishnan Balasubramanian, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
372 Top 43% higher than 57% 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
Gokulakrishnan Balasubramanian, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Gokulakrishnan Balasubramanian, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Largest specialties in Wisconsin (% of in-state providers)
Gastroenterology Physician ranks #61 among Wisconsin's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the Wisconsin provider total, by primary NUCC taxonomy. The highlighted bar is Gastroenterology Physician; the long tail of smaller specialties is omitted for legibility.
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 Gastroenterology Physician. Verify directly:
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).
Gokulakrishnan Balasubramanian, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 9200 W WISCONSIN AVENUE, Milwaukee, WI, 53226, with a listed phone of (414) 805-3310. NPI 1104079177 was issued on 11/03/2008. 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 372 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $72K in drug spend, split 28% brand-name and 72% generic by claim count. 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.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1104079177 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/03/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Gokulakrishnan Balasubramanian, M.D.'s current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Gokulakrishnan Balasubramanian, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
28% brand-name claims vs 72% generic, on 372 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.
Prescribing Breakdown
- 30-Day Fills
- 502
- Total Day Supply
- 13,751
- Brand vs Generic
- 28% brand / 72% generic
- Brand Drug Cost
- $57K
- Generic Drug Cost
- $15K
Patient Demographics
- Average Patient Age
- 62.5 years
- Avg HCC Risk Score
- 2.19
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 43, 65-74: 33, 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 Gokulakrishnan Balasubramanian, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
75 claims
- Linzess
Linzess
53 claims
- Motegrity 28
Motegrity
28 claims
- Amitriptyline Hcl 22
Amitriptyline Hcl
22 claims
- Famotidine 22
Famotidine
22 claims
- Nortriptyline Hcl 21
Nortriptyline Hcl
21 claims
- Pantoprazole Sodium 21
Pantoprazole Sodium
21 claims
- Sodium Chloride 14
Sodium Chloride
14 claims
| Drug | Claims |
|---|---|
| Omeprazole | 75 |
| Linzess Linaclotide | 53 |
| Motegrity Prucalopride Succinate | 28 |
| Amitriptyline Hcl | 22 |
| Famotidine | 22 |
| Nortriptyline Hcl | 21 |
| Pantoprazole Sodium | 21 |
| Sodium Chloride 0.9 % Sodium Chloride | 14 |
| Promethazine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Gokulakrishnan Balasubramanian, M.D. fits within the Gastroenterology Physician landscape nationally.
Gokulakrishnan Balasubramanian, M.D.'s 372 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Balasubramanian.
Compare Gastroenterology 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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.
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Frequently Asked Questions
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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