NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1497404123
Verify on CMS → Katherine Balogh
Family Medicine Physician in South Lyon, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
239
Medicare Part D claims · 56 beneficiaries · Family Medicine Physician avg: 3K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Katherine Balogh filed 239 Medicare Part D claims in 2023 as a Family Medicine Physician in South Lyon, Michigan.
- 239
- Part D claims, 2023
- 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.
Katherine Balogh's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
239 49th percentile higher than 49% 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
✓
Board certification likely (heuristic, not verified)
Katherine Balogh 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 Katherine Balogh?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
239 93% vs specialty avg
Specialty distribution in Michigan
How Family Medicine Physician compares to other specialties among Michigan 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 Family Medicine 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).
Katherine Balogh appears in the CMS NPPES registry as a Family Medicine Physician provider at 23200 PONTIAC TRL, South Lyon, MI, 48178, with a listed phone of (248) 446-2935. NPI 1497404123 was issued on 03/21/2022.
Medicare Part D records for calendar year 2023 show 239 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $13K in drug spend.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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 | 1497404123 |
|---|---|
| Specialty | Family Medicine Physician |
| Gender | Female |
| NPI Issued | 03/21/2022 |
Hospital and facility affiliations
Facilities where Katherine Balogh 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.
Iha Health Services Corporation
South Lyon, MI
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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Katherine Balogh. To verify Katherine Balogh's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
239
Total Claims
$13K
Total Drug Cost
56
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 352
- Total Day Supply
- 9,693
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 68.9 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 63% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Katherine Balogh prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
15 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
12 claims
- Amlodipine Besylate
Amlodipine Besylate
11 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 15 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 12 |
| Amlodipine Besylate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Katherine Balogh fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Katherine Balogh's 239 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Balogh.
Asma Abbas
Hamtramck, MI
Dr. Saadia Abbas
MD
Chesterfield, MI
Faezeh Abbasi
Monroe, MI
Dr. Marisa Abbo
DO
Rochester Hills, MI
Dr. Cathleen Abbott
M.D.
East Lansing, MI
Compare Family Medicine 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Michigan
Frequently Asked Questions
What is Katherine Balogh's specialty? ▼
Katherine Balogh specializes in Family Medicine Physician and practices in South Lyon, Michigan.
How much does Katherine Balogh prescribe under Medicare Part D? ▼
In 2023, Katherine Balogh wrote 239 Medicare Part D claims totaling $13K in drug costs for 56 beneficiaries.
Where is Katherine Balogh located? ▼
Katherine Balogh is located at 23200 PONTIAC TRL, South Lyon, MI, 48178. Phone: (248) 446-2935.
What is Katherine Balogh's NPI number? ▼
Katherine Balogh's National Provider Identifier (NPI) is 1497404123, issued on 03/21/2022.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Katherine Balogh prescribe most often? ▼
Based on 2023 Medicare Part D data, Katherine Balogh's most frequently prescribed drugs include Atorvastatin Calcium, Albuterol Sulfate Hfa, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Katherine Balogh accept Medicare? ▼
Katherine Balogh appears in CMS Medicare data with 239 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Katherine Balogh's credentials? ▼
Katherine Balogh's NPI is 1497404123. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.