Jay Shankar Balachandran, MD
Pulmonary Disease Physician · Mequon, WI
Jay Shankar Balachandran, MD is a pulmonary disease physician with a practice address in Mequon, Wisconsin, and NPI 1396786273, issued on Jun 9, 2006. Check the license (Wisconsin 64930, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Jay Shankar Balachandran
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 64930 WI
Self-reported in NPPES; status is on the state search - Practice location
- 13133 N Port Washington RD, Mequon, WI 53097
- Phone
- (262) 243-5044
- Enumerated
- Jun 9, 2006
- Record last updated
- Nov 7, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (262) 243-2510
- Medicaid ID
- 1396786273 WI
- Medicare enrollment
- Enrolled (PECOS I20151229001002); accepts Medicare assignment
- Medical or professional school
- University Of Wisconsin School Of Medicine, 2003
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 300 in Wisconsin → Look up another NPI →
Also registered at 13133 N Port Washington RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- John Broderick, M.D.Clinical Neurophysiology Physician1508939976
- Elona Como, PAPhysician Assistant1578827960
- Drew Elgin, M.D.Gastroenterology Physician1154358869
- Eamen Geboy, APNPAdult Health Nurse Practitioner1295463743
- Kevin Gee, MDUrology Physician1710975289
- Burak Gurses, MDPulmonary Disease Physician1649231754
Verify Jay Shankar Balachandran in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 64930Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
57% more Medicare Part D claims than the average pulmonary disease physician in 2024
2,234 Medicare Part D claims for 450 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 60% of claims.
Most prescribed
- Trelegy Ellipta440 claims
- Albuterol Sulfate Hfa210 claims
- Prednisone149 claims
- Breztri Aerosphere108 claims
- Montelukast Sodium107 claims
- Breo Ellipta81 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): 81.5 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).
Industry payments in 2024: $611.44
25 payments; by number, the most common kind was food and beverage; the largest payer was Inspire Medical Systems, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Madison Medical Affiliates IncMequon, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jay Shankar Balachandran among 300 pulmonary disease physician records in Wisconsin
Jay Shankar Balachandran, MD is one of 300 pulmonary disease physician records with a practice address in Wisconsin. 81% 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 5% of them.
- NPI issued2006 · 5% of these records are older, 49% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2003 · median 2003 among the 220 with a school on file
- Record last updated2016 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Wisconsin
There are 300 pulmonary disease physician records in Wisconsin.
All 300 in Wisconsin → Every provider in Mequon → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Burak Gurses, MDMequon, WI 530971649231754
- Jeffery Smale, MDWest Bend, WI 530951407930886
- Deborah McNear, M.D.Mequon, WI 530921275895336
- Arthur Crisostomo, M.D.Sussex, WI 530891609849140
- Talha IqbalBurlington, WI 531051649885351
- Anil Khurana, MDBurlington, WI 531051467433169
- Aasim Mohammed, M.DBurlington, WI 531051326477233
- Arturo Eyzaguirre, MDCudahy, WI 531101114029196
Common questions
What is Jay Shankar Balachandran, MD's NPI number?
Jay Shankar Balachandran, MD's National Provider Identifier (NPI) is 1396786273, issued on Jun 9, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jay Shankar Balachandran, MD located?
The NPPES record lists a practice address at 13133 N Port Washington RD, Mequon, WI, 53097. Phone: (262) 243-5044. Providers update this record themselves, so call before visiting.
How can I verify Jay Shankar Balachandran, MD's license?
NPPES lists Wisconsin license number 64930, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jay Shankar Balachandran, MD prescribe under Medicare Part D?
In 2024, Jay Shankar Balachandran, MD had 2,234 Medicare Part D claims for 450 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Jay Shankar Balachandran, MD's MIPS final score?
The 2023 MIPS final score is 81.5 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.