Thomas C. Balshi, M.D.
Procedural Dermatology Physician · Delray Beach, FL
Thomas C. Balshi, M.D. is a procedural dermatology physician with a practice address in Delray Beach, Florida, and NPI 1063400646, issued on Oct 8, 2005. Check the license (Florida ME 88514, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Thomas C. Balshi
- Credential
- M.D.
- Primary taxonomy
- Procedural Dermatology Physician 207NS0135X
- License number
- ME 88514 FL
Self-reported in NPPES; status is on the state search - Practice location
- 4665 W Atlantic Ave, Delray Beach, FL 33445
- Phone
- (561) 272-6000
- Enumerated
- Oct 8, 2005
- Record last updated
- Nov 12, 2014 (not updated in 12 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20040628001669); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest procedural dermatology physician records → All 71 in Florida → Look up another NPI →
Also registered at 4665 W Atlantic Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Thomas C. Balshi in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME 88514Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
40% more Medicare Part D claims than the average procedural dermatology physician in 2024
998 Medicare Part D claims for 377 beneficiaries, against an average of 713 among the 446 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims.
Most prescribed
- Triamcinolone Acetonide134 claims
- Ketoconazole90 claims
- Clotrimazole-Betamethasone83 claims
- Fluticasone Propionate74 claims
- Clobetasol Propionate54 claims
- Ciclopirox52 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.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,112.56
51 payments; by number, the most common kind was food and beverage; the largest payer was Merz North America, Inc. The 377 providers of this specialty with any payment received $10,439.11 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Thomas C Balshi MD PADelray Beach, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas C. Balshi among 71 procedural dermatology physician records in Florida
Thomas C. Balshi, M.D. is one of 71 procedural dermatology physician records with a practice address in Florida. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 73% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated1999 · median 1993 among the 50 with a school on file
- Record last updated2014 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207NS0135X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Procedural Dermatology Physician providers in Florida
There are 71 procedural dermatology physician records in Florida.
All 71 in Florida → Every provider in Delray Beach → Procedural Dermatology Physician nationwide →
The 8 procedural dermatology physician records with the nearest ZIP codes
- Ira Schlesinger, MDDelray Beach, FL 334451700892858
- Carlos Gutierrez MendiolaDeerfield Beach, FL 334421114549938
- Lawrence StrongWellington, FL 334491609918671
- John Kulick, MDBoca Raton, FL 334331255545547
- Shauna Kranendonk, M.D.Jupiter, FL 334581659316867
- Madelyn Lipman, MDBoynton Beach, FL 334721659358521
- Theodore Schiff, MDPalm Beach Gardens, FL 334101043276124
- Christopher Ewanowski, M.D.Lutz, FL 335581780880476
Common questions
What is Thomas C. Balshi, M.D.'s NPI number?
Thomas C. Balshi, M.D.'s National Provider Identifier (NPI) is 1063400646, issued on Oct 8, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Thomas C. Balshi, M.D. located?
The NPPES record lists a practice address at 4665 W Atlantic Ave, Delray Beach, FL, 33445. Phone: (561) 272-6000. Providers update this record themselves, so call before visiting.
How can I verify Thomas C. Balshi, M.D.'s license?
NPPES lists Florida license number ME 88514, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Thomas C. Balshi, M.D. prescribe under Medicare Part D?
In 2024, Thomas C. Balshi, M.D. had 998 Medicare Part D claims for 377 beneficiaries; the average among procedural dermatology physician prescribers was 713. Part D covers Medicare prescriptions only.
What is Thomas C. Balshi, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.