Merhala Balasubramaniam, M.D.
Pulmonary Disease Physician · Great Falls, MT
Merhala Balasubramaniam, M.D. is a pulmonary disease physician with a practice address in Great Falls, Montana, and NPI 1629450333, issued on Jun 18, 2015. Check the license (Montana 93868, as entered in NPPES) on the Montana Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Merhala Balasubramaniam
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 93868 MT
Self-reported in NPPES; status is on the state search - Practice location
- 1401 25TH St S, Great Falls, MT 59405
- Phone
- (406) 455-5000
- Enumerated
- Jun 18, 2015
- Record last updated
- Apr 5, 2024
- Fax
- (406) 731-8318
- Medicare enrollment
- Enrolled (PECOS I20210803003337); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 48 in Montana → Look up another NPI →
Also registered at 1401 25TH St S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Thomas Addison, MDGeriatric Medicine (Internal Medicine) Physician1871594754
- Sheela Ahmed, MDPulmonary Disease Physician1083736227
- Jill Aitken, AUDAudiologist1730386020
- Jamie Aleba, PAMedical Physician Assistant1184929572
- Thomas Attaway, MDGastroenterology Physician1922012442
- Lily AvgustovskiyNurse Practitioner1093122335
Verify Merhala Balasubramaniam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMontana Board of Medical Examiners
Search for license 93868Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
11% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
1,262 Medicare Part D claims for 141 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 73% of claims.
Most prescribed
- Albuterol Sulfate Hfa201 claims
- Ventolin Hfa97 claims
- Trelegy Ellipta85 claims
- Symbicort80 claims
- Montelukast Sodium66 claims
- Fluticasone-Salmeterol63 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): 80.5 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: $444.95
13 payments; by number, the most common kind was food and beverage; the largest payer was Amgen 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.
One hospital affiliation
- Benefis Hospitals IncGreat Falls, MT · Acute Care Hospitals2 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Merhala Balasubramaniam among 48 pulmonary disease physician records in Montana
Merhala Balasubramaniam, M.D. is one of 48 pulmonary disease physician records with a practice address in Montana. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 88% of them.
- NPI issued2015 · 88% of these records are older, 8% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated2015 · median 1998 among the 36 with a school on file
- Record last updated2024 · 29% 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 Montana 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 Montana
There are 48 pulmonary disease physician records in Montana.
All 48 in Montana → Every provider in Great Falls → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Sheela Ahmed, MDGreat Falls, MT 594051083736227
- Sean Dow, M.D.Great Falls, MT 594051871535096
- Robert Grasseschi, MDGreat Falls, MT 594051548261274
- Richard Kearley, MDGreat Falls, MT 594051386630952
- William Krause, MDGreat Falls, MT 594051659395697
- John Mazur, M.D.Great Falls, MT 594051659364651
- Megan Sisk, D.O.Great Falls, MT 594051306132279
- Gabor Varju, MDGreat Falls, MT 594051235342999
Common questions
What is Merhala Balasubramaniam, M.D.'s NPI number?
Merhala Balasubramaniam, M.D.'s National Provider Identifier (NPI) is 1629450333, issued on Jun 18, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Merhala Balasubramaniam, M.D. located?
The NPPES record lists a practice address at 1401 25TH St S, Great Falls, MT, 59405. Phone: (406) 455-5000. Providers update this record themselves, so call before visiting.
How can I verify Merhala Balasubramaniam, M.D.'s license?
NPPES lists Montana license number 93868, as entered by the provider. Search the Montana Board of Medical Examiners at https://ebiz.mt.gov/POL/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Merhala Balasubramaniam, M.D. prescribe under Medicare Part D?
In 2024, Merhala Balasubramaniam, M.D. had 1,262 Medicare Part D claims for 141 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Merhala Balasubramaniam, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.5 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.