2026 NPPES data Internal Medicine Physician NPI 1780793281 M.D.
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RICHARD BALABAN, M.D.

Internal Medicine Physician in SOMERVILLE, Massachusetts. 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
2K
Medicare Part D claims · 118 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: RICHARD BALABAN, M.D. is a Internal Medicine Physician ([object Object]) practicing in SOMERVILLE, Massachusetts with a Medicare Part D prescribing footprint of 2K claims across 118 beneficiaries — 17% brand-name prescribing .

What stands out: RICHARD BALABAN, M.D. filed 1,986 Medicare Part D claims in 2023 across SOMERVILLE, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RICHARD BALABAN, M.D. 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).

RICHARD BALABAN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/29/2006

NPI 1780793281

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,986 27% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Massachusetts

How Internal Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Internal Medicine Physician share within Massachusetts

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

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).

RICHARD BALABAN, M.D. is a Internal Medicine Physician provider practicing in SOMERVILLE, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1780793281. 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.

RICHARD BALABAN, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 236 HIGHLAND AVE, SOMERVILLE, MA, 02143, with a listed phone of (617) 591-6300. NPI 1780793281 was issued on 08/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALABAN 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 1,986 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $258K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 10.0%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

236 HIGHLAND AVE
SOMERVILLE, MA 02143

Provider Details

NPI 1780793281
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/29/2006

Hospital and facility affiliations

Facilities where RICHARD BALABAN, 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.

CAMBRIDGE PUBLIC HEALTH COMMISSION
EVERETT, MA

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to RICHARD BALABAN, M.D.. To verify RICHARD BALABAN, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RICHARD BALABAN, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 1,986 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.

1,986
Total Claims
$258K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,684
Total Day Supply
103,543
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$221K
Generic Drug Cost
$36K
Opioid Claims
198 (10.0% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.56
Gender Split
47% female / 53% male
Age Distribution
<65: 25, 65-74: 50, 75-84: 31, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
128
Lisinopril
100
Amlodipine Besylate
98
Omeprazole
74
Metformin Hcl
72
Oxycodone Hcl
70
Albuterol Sulfate Hfa
Albuterol Sulfate
51
Losartan Potassium
46
Diclofenac Sodium
39
Morphine Sulfate Er
Morphine Sulfate
38

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

Internal Medicine Physician Overview

How RICHARD BALABAN, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

RICHARD BALABAN, M.D.'s 1,986 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Massachusetts

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD BALABAN, M.D.'s specialty?
RICHARD BALABAN, M.D. specializes in Internal Medicine Physician and practices in SOMERVILLE, Massachusetts. Credentials: M.D..
How much does RICHARD BALABAN, M.D. prescribe under Medicare Part D?
In 2023, RICHARD BALABAN, M.D. wrote 1,986 Medicare Part D claims totaling $258K in drug costs for 118 beneficiaries.
Where is RICHARD BALABAN, M.D. located?
RICHARD BALABAN, M.D. is located at 236 HIGHLAND AVE, SOMERVILLE, MA, 02143. Phone: (617) 591-6300.
What is RICHARD BALABAN, M.D.'s NPI number?
RICHARD BALABAN, M.D.'s National Provider Identifier (NPI) is 1780793281, issued on 08/29/2006.
Does RICHARD BALABAN, M.D. prescribe more brand-name or generic drugs?
RICHARD BALABAN, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $221K in brand drug costs.
Does RICHARD BALABAN, M.D. prescribe opioids?
Yes, RICHARD BALABAN, M.D. had 198 opioid claims in 2023 with an opioid prescribing rate of 10.0%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does RICHARD BALABAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD BALABAN, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD BALABAN, M.D. accept Medicare?
RICHARD BALABAN, M.D. appears in CMS Medicare data with 1,986 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD BALABAN, M.D.'s credentials?
RICHARD BALABAN, M.D.'s NPI is 1780793281 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.
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