2026 NPPES data Pulmonary Disease Physician NPI 1184824351 M.D.
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RICK BALESTRA, M.D.

Pulmonary Disease Physician in PORTLAND, Oregon. 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
343
Medicare Part D claims · 66 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
25%
generic claims · 75% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$648.98
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RICK BALESTRA, M.D. filed 343 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in PORTLAND, Oregon, prescribing 25% generic.

343
Part D claims, 2023
25%
generic prescribing
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.

RICK BALESTRA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

343 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

RICK BALESTRA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 RICK BALESTRA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/24/2007

NPI 1184824351

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

343 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Oregon

How Pulmonary Disease Physician compares to other specialties among Oregon providers

Oregon providers

Pulmonary Disease Physician share within Oregon

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Oregon

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease 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).

RICK BALESTRA, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1111 NE 99TH AVE STE 200, PORTLAND, OR, 97220, with a listed phone of (503) 963-3030. NPI 1184824351 was issued on 07/24/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALESTRA 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 343 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $197K in drug spend, split 75% brand-name and 25% 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1111 NE 99TH AVE STE 200
PORTLAND, OR 97220

Provider Details

NPI 1184824351
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 07/24/2007

Hospital and facility affiliations

Facilities where RICK BALESTRA, 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.

PROVIDENCE HEALTH AND SERVICES - OREGON
PORTLAND, OR
THE OREGON CLINIC, PC
PORTLAND, OR

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 RICK BALESTRA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$649

Largest payer

Getinge USA Sales, LLC

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.

Brand vs generic prescribing mix · Brand-heavy

RICK BALESTRA, M.D. — brand share 75.0%
Specialty average (est.)

75% brand-name claims vs 25% generic, on 343 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.

343
Total Claims
$197K
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
496
Total Day Supply
13,592
Brand vs Generic
75% brand / 25% generic
Brand Drug Cost
$193K
Generic Drug Cost
$3K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.43
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What RICK BALESTRA, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
65
Albuterol Sulfate Hfa
Albuterol Sulfate
42
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
24
Breo Ellipta
Fluticasone/Vilanterol
20
Prednisone
19
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
18
Advair Diskus
Fluticasone Propion/Salmeterol
16
Pantoprazole Sodium
15
Dupixent Syringe
Dupilumab
13
Azithromycin
12

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

Pulmonary Disease Physician Overview

How RICK BALESTRA, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

RICK BALESTRA, M.D.'s 343 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Oregon

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICK BALESTRA, M.D.'s specialty?
RICK BALESTRA, M.D. specializes in Pulmonary Disease Physician and practices in PORTLAND, Oregon. Credentials: M.D..
How much does RICK BALESTRA, M.D. prescribe under Medicare Part D?
In 2023, RICK BALESTRA, M.D. wrote 343 Medicare Part D claims totaling $197K in drug costs for 66 beneficiaries.
Where is RICK BALESTRA, M.D. located?
RICK BALESTRA, M.D. is located at 1111 NE 99TH AVE STE 200, PORTLAND, OR, 97220. Phone: (503) 963-3030.
What is RICK BALESTRA, M.D.'s NPI number?
RICK BALESTRA, M.D.'s National Provider Identifier (NPI) is 1184824351, issued on 07/24/2007.
Does RICK BALESTRA, M.D. prescribe more brand-name or generic drugs?
RICK BALESTRA, M.D.'s prescribing is 75% brand-name and 25% generic drugs by claim count, with $193K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does RICK BALESTRA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICK BALESTRA, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Anoro Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICK BALESTRA, M.D. accept Medicare?
RICK BALESTRA, M.D. appears in CMS Medicare data with 343 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICK BALESTRA, M.D.'s credentials?
RICK BALESTRA, M.D.'s NPI is 1184824351 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