2026 NPPES data Ophthalmology Physician NPI 1467439158 MD
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ROBERT BALEN, MD

Ophthalmology 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
18
Medicare Part D claims · Ophthalmology Physician avg: 1K
What the federal data reveals: ROBERT BALEN, MD is a Ophthalmology Physician ([object Object]) practicing in PORTLAND, Oregon with a Medicare Part D prescribing footprint of 18 claims .

What stands out: ROBERT BALEN, MD filed 18 Medicare Part D claims in 2023 across PORTLAND, Oregon. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ROBERT BALEN, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ROBERT BALEN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 12/23/2005

NPI 1467439158

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

18 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Oregon

How Ophthalmology Physician compares to other specialties among Oregon providers

Oregon providers

Ophthalmology Physician share within Oregon

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

Specialty board-certification context

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

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

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

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

ROBERT BALEN, MD is a Ophthalmology Physician provider practicing in PORTLAND, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467439158. 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.

ROBERT BALEN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 10502 NE WASCO ST, PORTLAND, OR, 97220, with a listed phone of (503) 252-2467. NPI 1467439158 was issued on 12/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALEN 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 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $163 in drug spend. 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

10502 NE WASCO ST
PORTLAND, OR 97220

Provider Details

NPI 1467439158
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 12/23/2005

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$163
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
54
Total Day Supply
1,620
Generic Drug Cost
$8

Patient Demographics

Average Patient Age
81.0 years
Avg HCC Risk Score
2.13

Ophthalmology Physician Overview

How ROBERT BALEN, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ROBERT BALEN, MD's 18 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Oregon

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT BALEN, MD's specialty?
ROBERT BALEN, MD specializes in Ophthalmology Physician and practices in PORTLAND, Oregon. Credentials: MD.
How much does ROBERT BALEN, MD prescribe under Medicare Part D?
In 2023, ROBERT BALEN, MD wrote 18 Medicare Part D claims totaling $163 in drug costs for N/A beneficiaries.
Where is ROBERT BALEN, MD located?
ROBERT BALEN, MD is located at 10502 NE WASCO ST, PORTLAND, OR, 97220. Phone: (503) 252-2467.
What is ROBERT BALEN, MD's NPI number?
ROBERT BALEN, MD's National Provider Identifier (NPI) is 1467439158, issued on 12/23/2005.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
Does ROBERT BALEN, MD accept Medicare?
ROBERT BALEN, MD appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT BALEN, MD's credentials?
ROBERT BALEN, MD's NPI is 1467439158 with credentials MD. 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