2026 NPPES data Nuclear Cardiology Physician NPI 1952557316 M.D.
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MARK BALEK, M.D.

Nuclear Cardiology Physician in OAK PARK, Illinois. 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
1K
Medicare Part D claims · 270 beneficiaries · Nuclear Cardiology Physician avg: 4K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.797/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$45.04
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK BALEK, M.D. is a Nuclear Cardiology Physician ([object Object]) practicing in OAK PARK, Illinois with a Medicare Part D prescribing footprint of 1K claims across 270 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 85.797/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $45.04 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK BALEK, M.D. reported a CMS MIPS final score of 85.797 out of 100, above the 83.1 national average, and filed 1,413 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK BALEK, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARK BALEK, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/16/2008

NPI 1952557316

Primary specialty

Nuclear Cardiology Physician

Rare

374 US NPIs in this specialty

Medicare Part D claims

1,413 65% vs specialty avg

2023 prescription claims

Specialty avg: 4,019

MIPS final score

85.797/100 2.6970000000000027% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Nuclear Cardiology Physician compares to other specialties among Illinois providers

Illinois providers

Nuclear Cardiology Physician share within Illinois

1. Nuclear Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nuclear Cardiology Physician share within Illinois

Medicare quality performance — MIPS

MARK BALEK, M.D.'s 2023 MIPS final score plotted against the Nuclear Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
85.797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nuclear Cardiology Physician) — 85.797/100 vs national avg 83.1

0%100%National avg83%85.8%
MIPS final score (Nuclear Cardiology Physician) — 85.797/100 vs national avg 83.1

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).

MARK BALEK, M.D. is a Nuclear Cardiology Physician provider practicing in OAK PARK, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1952557316. 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.

MARK BALEK, M.D. appears in the CMS NPPES registry as a Nuclear Cardiology Physician provider holding M.D. credentials at 7035 NORTH AVE, OAK PARK, IL, 60302, with a listed phone of (708) 680-3800. NPI 1952557316 was issued on 08/16/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALEK 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 1,413 prescription claims written by this provider, covering 270 Medicare beneficiaries and totaling roughly $224K in drug spend, split 11% brand-name and 89% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.797/100 for the 2023 performance year (Quality 78.4624, Cost 50.074), compared with the national average of 83.1.

Nuclear Cardiology Physician is a narrow specialty nationwide, with 374 enrolled providers across 37 states and an average of 4,019 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

7035 NORTH AVE
OAK PARK, IL 60302

Provider Details

NPI 1952557316
Specialty Nuclear Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 08/16/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.797
Final Score
Avg: 83.1
78.4624
Quality
50.074
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK BALEK, 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.

CHICAGO CARDIOLOGY INSTITUTE SC
OAK PARK, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 MARK BALEK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$45

Largest payer

Novartis Pharmaceuticals Corporation

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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to MARK BALEK, M.D.. To verify MARK BALEK, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARK BALEK, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,413 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.

1,413
Total Claims
$224K
Total Drug Cost
270
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,646
Total Day Supply
107,333
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$193K
Generic Drug Cost
$31K

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.84
Gender Split
55% female / 45% male
Age Distribution
<65: 23, 65-74: 121, 75-84: 91, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Carvedilol
169
Lisinopril
126
Atorvastatin Calcium
97
Amlodipine Besylate
93
Furosemide
83
Metoprolol Succinate
75
Metoprolol Tartrate
74
Eliquis
Apixaban
63
Hydralazine Hcl
52
Losartan Potassium
51

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

Nuclear Cardiology Physician Overview

How MARK BALEK, M.D. fits within the Nuclear Cardiology Physician landscape nationally.

374
Nuclear Cardiology Physician Providers in US
37
States with Nuclear Cardiology Physician
4,019
Avg Claims per Provider

MARK BALEK, M.D.'s 1,413 claims are below the specialty average of 4,019.

Nearby Nuclear Cardiology Physician Providers in Illinois

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

Compare Nuclear Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK BALEK, M.D.'s specialty?
MARK BALEK, M.D. specializes in Nuclear Cardiology Physician and practices in OAK PARK, Illinois. Credentials: M.D..
How much does MARK BALEK, M.D. prescribe under Medicare Part D?
In 2023, MARK BALEK, M.D. wrote 1,413 Medicare Part D claims totaling $224K in drug costs for 270 beneficiaries.
What is MARK BALEK, M.D.'s Medicare quality score?
MARK BALEK, M.D. has a CMS MIPS Final Score of 85.797/100 (Quality: 78.4624, Cost: 50.074). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK BALEK, M.D. located?
MARK BALEK, M.D. is located at 7035 NORTH AVE, OAK PARK, IL, 60302. Phone: (708) 680-3800.
What is MARK BALEK, M.D.'s NPI number?
MARK BALEK, M.D.'s National Provider Identifier (NPI) is 1952557316, issued on 08/16/2008.
Does MARK BALEK, M.D. prescribe more brand-name or generic drugs?
MARK BALEK, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $193K in brand drug costs.
How many Nuclear Cardiology Physician providers are there in the US?
There are 374 Nuclear Cardiology Physician providers across 37 states in the US. The average Nuclear Cardiology Physician provider writes 4,019 Medicare Part D claims per year.
What drugs does MARK BALEK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK BALEK, M.D.'s most frequently prescribed drugs include Carvedilol, Lisinopril, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK BALEK, M.D. accept Medicare?
MARK BALEK, M.D. appears in CMS Medicare data with 1,413 Part D claims and 270 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK BALEK, M.D.'s credentials?
MARK BALEK, M.D.'s NPI is 1952557316 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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