2026 NPPES data Family Medicine Physician NPI 1730153552 D.O.
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ROBERT BALBIS, D.O.

Family Medicine Physician in LAKE CITY, Florida. 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
7K
Medicare Part D claims · 447 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.7411/100
▲ 6 pts above national avg 83.1 · [object Object]

What the federal data shows

ROBERT BALBIS, D.O. reported a CMS MIPS final score of 88.7411/100 — above the 83.1 national average — and filed 6,822 Medicare Part D claims in 2023.

88.7411/100
MIPS score · +6 vs avg
7K
Part D claims, 2023
85%
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.

ROBERT BALBIS, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ROBERT BALBIS, D.O. 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).

What does the federal data show about ROBERT BALBIS, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 02/16/2006

NPI 1730153552

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,822 100% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

88.7411/100 5.641100000000009% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Family Medicine Physician compares to other specialties among Florida providers

Florida providers

Family Medicine Physician share within Florida

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

Medicare quality performance — MIPS

ROBERT BALBIS, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
88.7411/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 88.7411/100 vs national avg 83.1

0%100%National avg83%88.7%
MIPS final score (Family Medicine Physician) — 88.7411/100 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).

ROBERT BALBIS, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 619 S MARION AVE, LAKE CITY, FL, 32025, with a listed phone of (386) 755-3016. NPI 1730153552 was issued on 02/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALBIS 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 6,822 prescription claims written by this provider, covering 447 Medicare beneficiaries and totaling roughly $798K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.7%. 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 88.7411/100 for the 2023 performance year (Quality 87.711), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

619 S MARION AVE
LAKE CITY, FL 32025

Provider Details

NPI 1730153552
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 02/16/2006

CMS Quality Score (MIPS)

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

88.7411
Final Score
Avg: 83.1
87.711
Quality
85
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ROBERT BALBIS, D.O. 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.

SIMEDHEALTH LLC
GAINESVILLE, FL

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to ROBERT BALBIS, D.O.. To verify ROBERT BALBIS, D.O.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ROBERT BALBIS, D.O. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 6,822 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.

6,822
Total Claims
$798K
Total Drug Cost
447
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,609
Total Day Supply
428,560
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$665K
Generic Drug Cost
$130K
Opioid Claims
119 (1.7% rate)
Antibiotic Claims
185

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.27
Gender Split
53% female / 47% male
Age Distribution
<65: 58, 65-74: 232, 75-84: 128, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What ROBERT BALBIS, D.O. 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
Levothyroxine Sodium
269
Amlodipine Besylate
255
Rosuvastatin Calcium
252
Atorvastatin Calcium
238
Lisinopril
212
Gabapentin
192
Metoprolol Succinate
157
Omeprazole
142
Hydrochlorothiazide
115
Metformin Hcl
115

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

Family Medicine Physician Overview

How ROBERT BALBIS, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ROBERT BALBIS, D.O.'s 6,822 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Florida

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

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

Frequently Asked Questions

What is ROBERT BALBIS, D.O.'s specialty?
ROBERT BALBIS, D.O. specializes in Family Medicine Physician and practices in LAKE CITY, Florida. Credentials: D.O..
How much does ROBERT BALBIS, D.O. prescribe under Medicare Part D?
In 2023, ROBERT BALBIS, D.O. wrote 6,822 Medicare Part D claims totaling $798K in drug costs for 447 beneficiaries.
What is ROBERT BALBIS, D.O.'s Medicare quality score?
ROBERT BALBIS, D.O. has a CMS MIPS Final Score of 88.7411/100 (Quality: 87.711). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT BALBIS, D.O. located?
ROBERT BALBIS, D.O. is located at 619 S MARION AVE, LAKE CITY, FL, 32025. Phone: (386) 755-3016.
What is ROBERT BALBIS, D.O.'s NPI number?
ROBERT BALBIS, D.O.'s National Provider Identifier (NPI) is 1730153552, issued on 02/16/2006.
Does ROBERT BALBIS, D.O. prescribe more brand-name or generic drugs?
ROBERT BALBIS, D.O.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $665K in brand drug costs.
Does ROBERT BALBIS, D.O. prescribe opioids?
Yes, ROBERT BALBIS, D.O. had 119 opioid claims in 2023 with an opioid prescribing rate of 1.7%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ROBERT BALBIS, D.O. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT BALBIS, D.O.'s most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT BALBIS, D.O. accept Medicare?
ROBERT BALBIS, D.O. appears in CMS Medicare data with 6,822 Part D claims and 447 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT BALBIS, D.O.'s credentials?
ROBERT BALBIS, D.O.'s NPI is 1730153552 with credentials D.O.. 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