NPPES file of Aug 9, 2026

Prasanth Balasubramanian, MD

Transplant Surgery Physician · Jacksonville, FL

Prasanth Balasubramanian, MD is a transplant surgery physician with a practice address in Jacksonville, Florida, and NPI 1033771001, issued on Jul 1, 2019. Check the license (Florida ME154073, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1033771001
Name
Prasanth Balasubramanian
Credential
MD
Primary taxonomy
Transplant Surgery Physician 204F00000X
License number
ME154073 FL
Self-reported in NPPES; status is on the state search
Practice location
4500 San Pablo RD S, Jacksonville, FL 32224
Phone
(904) 953-2000
Enumerated
Jul 1, 2019
Record last updated
Jan 15, 2026
Medicare enrollment
Enrolled (PECOS I20220621003439); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 4500 San Pablo RD S

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David Abarbanel, MDNeurology Physician1598298242
  2. Ejigayehu Abate, MDEndocrinology, Diabetes & Metabolism Physician1679615116
  3. Suhny Abbara, MDDiagnostic Radiology Physician1538150180
  4. Sara Abbas, PA-CPhysician Assistant1356121206
  5. Carol Abbott, ARNP, FNP-CNurse Practitioner1629427240
  6. Zaid Abdel Rahman, M.D.Hematology (Internal Medicine) Physician1003299330

Verify Prasanth Balasubramanian in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME154073
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

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28% fewer Medicare Part D claims than the average transplant surgery physician in 2024

188 Medicare Part D claims for 58 beneficiaries, against an average of 260 among the 541 providers of this specialty who prescribed in Part D. Brand-name drugs were 38% of claims.

  1. Prasanth Balasubramanian188
  2. Specialty average260

Most prescribed

  1. Prednisone20 claims
  2. Albuterol Sulfate Hfa17 claims
  3. Breo Ellipta13 claims
  4. Sulfamethoxazole-Trimethoprim13 claims
  5. Gabapentin11 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): 76.2 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.

  1. Qualityout of 100 · 30% of the final score69.3
  2. Costout of 100 · 30%51.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $118.60

1 payment: food and beverage; the largest payer was Intuitive Surgical, Inc. The 524 providers of this specialty with any payment received $3,913.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Prasanth Balasubramanian$118.60
  2. Specialty average$3,913.05

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

  1. Mayo Clinic JacksonvilleJacksonville, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Prasanth Balasubramanian among 65 transplant surgery physician records in Florida

Prasanth Balasubramanian, MD is one of 65 transplant surgery physician records with a practice address in Florida. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 88% of them.

  • NPI issued2019 · 88% of these records are older, 8% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2013 · median 2006 among the 48 with a school on file
  • Record last updated2026 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 204F00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Transplant Surgery Physician providers in Florida

There are 65 transplant surgery physician records in Florida.

The 8 transplant surgery physician records with the nearest ZIP codes

  1. Justin Burns, MDJacksonville, FL 322241780712042
  2. Jacob Clendenon, MDJacksonville, FL 322241093959231
  3. Kristopher Croome, MDJacksonville, FL 322241972938462
  4. Nicole Loo, MDJacksonville, FL 322241508096025
  5. Shennen Mao, MDJacksonville, FL 322241922230713
  6. Omar Mousa, MBBSJacksonville, FL 322241942555909
  7. Dana Perry, MDJacksonville, FL 322241235220989
  8. Karn Wijarnpreecha, M.D., MPHJacksonville, FL 322241942683008

Common questions

What is Prasanth Balasubramanian, MD's NPI number?

Prasanth Balasubramanian, MD's National Provider Identifier (NPI) is 1033771001, issued on Jul 1, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Prasanth Balasubramanian, MD located?

The NPPES record lists a practice address at 4500 San Pablo RD S, Jacksonville, FL, 32224. Phone: (904) 953-2000. Providers update this record themselves, so call before visiting.

How can I verify Prasanth Balasubramanian, MD's license?

NPPES lists Florida license number ME154073, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Prasanth Balasubramanian, MD prescribe under Medicare Part D?

In 2024, Prasanth Balasubramanian, MD had 188 Medicare Part D claims for 58 beneficiaries; the average among transplant surgery physician prescribers was 260. Part D covers Medicare prescriptions only.

What is Prasanth Balasubramanian, MD's MIPS final score?

The 2023 MIPS final score is 76.2 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.