NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1952783557 M.D
Verify on CMS → Harika Balagoni, M.D
Gastroenterology Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,061 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.
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
385
Medicare Part D claims · 280 beneficiaries · Gastroenterology Physician avg: 848
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Harika Balagoni, M.D filed 385 Medicare Part D claims in 2024 as a Gastroenterology Physician in Austin, Texas, prescribing 71% generic.
- 385
- Part D claims, 2024
- 71%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥56th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Harika Balagoni, M.D
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1952783557), first enumerated 06/19/2015.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 385 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Harika Balagoni, M.D's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1952783557 · Gastroenterology Physician
NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1952783557
- ENUM-MID 2015
- TAX-MID 17K Gastroenterology Physician
- RX-LIGHT 385
- BOOK-LIGHT 1,135 in Texas
- PHOTO-ENUM Abimbola Adenote · 2015
Harika Balagoni, M.D's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
385 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Harika Balagoni, 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 Harika Balagoni, M.D?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
385 55% vs specialty avg
Specialty distribution in Texas
How Gastroenterology Physician compares to other specialties among Texas 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 Gastroenterology 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).
Practice Address
Provider Details
| NPI | 1952783557 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D |
| Gender | Female |
| NPI Issued | 06/19/2015 |
Hospital and facility affiliations
Facilities where Harika Balagoni, 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.
Mayo Clinic Health System-Southwest Wisconsin Region Inc
La Crosse, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Harika Balagoni, M.D. To verify Harika Balagoni, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Harika Balagoni, M.D - brand share 29.0%
Gastroenterology Physician average
29% brand-name claims vs 71% generic, on 385 2024 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 2024.
385
Total Claims
$59K
Total Drug Cost
280
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 460.067
- Total Day Supply
- 6,853
- Brand vs Generic
- 29% brand / 71% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 20, 65-74: 187, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Harika Balagoni, M.D prescribes most
Top Medicare Part D drugs by claim count, 2024
- Peg-3350 And Elect…
Peg-3350 And Electrolytes
87 claims
- Gavilyte-G
Gavilyte-G
78 claims
- Omeprazole
Omeprazole
55 claims
- Gavilyte-C
Gavilyte-C
54 claims
- Pantoprazole Sodium 19
Pantoprazole Sodium
19 claims
- Entecavir 12
Entecavir
12 claims
- Famotidine 11
Famotidine
11 claims
| Drug | Claims |
|---|---|
| Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl | 87 |
| Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl | 78 |
| Omeprazole | 55 |
| Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl | 54 |
| Pantoprazole Sodium | 19 |
| Entecavir | 12 |
| Famotidine | 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 Harika Balagoni, M.D fits within the Gastroenterology Physician landscape nationally.
17,061
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
848
Avg Claims per Provider
Harika Balagoni, M.D's 385 claims are below the specialty average of 848.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Balagoni, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2015)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Balagoni.
One of 1,135 Gastroenterology Physician providers enrolled in Texas, 5 are shown here.
Ali Aamar
Houston, TX
Dr. Amro Abdellatief
MD
McAllen, TX
Dr. Olufemi Abiodun
MD
Arlington, TX
Dr. Mohammed Aboelsoud
MD
Shenandoah, TX
Dr. Bincy Abraham
MD
Houston, TX
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Harika Balagoni, M.D's specialty? ▼
Harika Balagoni, M.D specializes in Gastroenterology Physician and practices in Austin, Texas. Credentials: M.D.
How much does Harika Balagoni, M.D prescribe under Medicare Part D? ▼
In 2024, Harika Balagoni, M.D wrote 385 Medicare Part D claims totaling $59K in drug costs for 280 beneficiaries.
Where is Harika Balagoni, M.D located? ▼
Harika Balagoni, M.D is located at 5339 N IH 35 STE 100, Austin, TX, 78723. Phone: (512) 978-8130.
What is Harika Balagoni, M.D's NPI number? ▼
Harika Balagoni, M.D's National Provider Identifier (NPI) is 1952783557, issued on 06/19/2015.
Does Harika Balagoni, M.D prescribe more brand-name or generic drugs? ▼
Harika Balagoni, M.D's prescribing is 29% brand-name and 71% generic drugs by claim count, with $53K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 17,061 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 848 Medicare Part D claims per year.
What drugs does Harika Balagoni, M.D prescribe most often? ▼
Based on 2024 Medicare Part D data, Harika Balagoni, M.D's most frequently prescribed drugs include Peg-3350 And Electrolytes, Gavilyte-G, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Harika Balagoni, M.D accept Medicare? ▼
Harika Balagoni, M.D appears in CMS Medicare data with 385 Part D claims and 280 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Harika Balagoni, M.D's credentials? ▼
Harika Balagoni, M.D's NPI is 1952783557 with credentials M.D. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.