Terry Balagna, M.D.
Emergency Medicine Physician · Decatur, IL
Terry Balagna, M.D. is an emergency medicine physician with a practice address in Decatur, Illinois, and NPI 1114022183, issued on Sep 14, 2006. Check the license on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Terry Balagna
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- Practice location
- 2300 N Edward St, Decatur, IL 62526
- Phone
- (217) 876-3000
- Enumerated
- Sep 14, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicaid ID
- 036073894-2 IL
- Medicare enrollment
- Enrolled (PECOS I20120103000146); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 3,291 in Illinois → Look up another NPI →
Also registered at 2300 N Edward St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Nadal Aker, M.D.Cardiovascular Disease Physician1083671911
- Amber Anderson, M.D.Family Medicine Physician1568752137
Verify Terry Balagna in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional RegulationCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
10% fewer Medicare Part D claims than the average emergency medicine physician in 2024
203 Medicare Part D claims for 155 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 37 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen25 claims
- Cephalexin22 claims
- Doxycycline Hyclate19 claims
- Prednisone19 claims
- Ondansetron Hcl12 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.
Bills Medicare through one group practice
- Midwest Emergency Department Specialists LtdDecatur, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Terry Balagna among 3,291 emergency medicine physician records in Illinois
Terry Balagna, M.D. is one of 3,291 emergency medicine physician records with a practice address in Illinois. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 68% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated1984 · median 2012 among the 1,867 with a school on file
- Record last updated2007 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
23 emergency medicine physician records list a practice address in Decatur
They are 23 of the 1,513 NPPES records with a practice address in Decatur, and 3,291 emergency medicine physician records in Illinois.
All 3,291 in Illinois → Every provider in Decatur → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Jappan Bhatt, DODecatur, IL 625261669594115
- Geronimo Garcia, M.D.Decatur, IL 625261417042938
- Patrick Garrity, M.D.Decatur, IL 625261407925720
- Maria Granzotti, M.D.Decatur, IL 625261427187509
- Lawrence Jeisy, M.D.Decatur, IL 625261912076233
- Edward Leon, MDDecatur, IL 625261164496865
- Yat Leung, MDDecatur, IL 625261669412532
- Gabriel Munoz, M.D.Decatur, IL 625261104912435
Common questions
What is Terry Balagna, M.D.'s NPI number?
Terry Balagna, M.D.'s National Provider Identifier (NPI) is 1114022183, issued on Sep 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Terry Balagna, M.D. located?
The NPPES record lists a practice address at 2300 N Edward St, Decatur, IL, 62526. Phone: (217) 876-3000. Providers update this record themselves, so call before visiting.
How can I verify Terry Balagna, M.D.'s license?
Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Terry Balagna, M.D. prescribe under Medicare Part D?
In 2024, Terry Balagna, M.D. had 203 Medicare Part D claims for 155 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
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.