2026 NPPES data Family Medicine Physician NPI 1861652463 DO
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TUCKER BALAM, DO

Family Medicine Physician in SOUTH BEND, Indiana. 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
503
Medicare Part D claims · 41 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

TUCKER BALAM, DO filed 503 Medicare Part D claims in 2023 as a Family Medicine Physician in SOUTH BEND, Indiana, prescribing 87% generic.

503
Part D claims, 2023
87%
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.

TUCKER BALAM, DO's Medicare Part D volume vs every U.S. prescriber

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

503 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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)

TUCKER BALAM, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 TUCKER BALAM, DO?

Quality data not reported

NPI registry status

Active

Issued 06/17/2008

NPI 1861652463

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

503 85% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Indiana

How Family Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Family Medicine Physician share within Indiana

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

Specialty board-certification context

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

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

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

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

TUCKER BALAM, DO is a Family Medicine Physician provider practicing in SOUTH BEND, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1861652463. 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.

TUCKER BALAM, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 714 N MICHIGAN ST, SOUTH BEND, IN, 46601, with a listed phone of (574) 647-7477. NPI 1861652463 was issued on 06/17/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALAM 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 503 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $61K in drug spend, split 13% brand-name and 87% 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.

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

714 N MICHIGAN ST
SOUTH BEND, IN 46601

Provider Details

NPI 1861652463
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 06/17/2008

Hospital and facility affiliations

Facilities where TUCKER BALAM, DO 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.

BEACON MEDICAL GROUP INC
SOUTH BEND, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

TUCKER BALAM, DO — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 503 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.

503
Total Claims
$61K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
971
Total Day Supply
28,630
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$50K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.09
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
36
Ibuprofen
21
Metoprolol Succinate
20
Tamsulosin Hcl
19
Lisinopril
15
Mirtazapine
15
Albuterol Sulfate Hfa
Albuterol Sulfate
14
Escitalopram Oxalate
14
Amitriptyline Hcl
13
Duloxetine Hcl
13

* 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 TUCKER BALAM, DO 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

TUCKER BALAM, DO's 503 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Indiana

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

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

Frequently Asked Questions

What is TUCKER BALAM, DO's specialty?
TUCKER BALAM, DO specializes in Family Medicine Physician and practices in SOUTH BEND, Indiana. Credentials: DO.
How much does TUCKER BALAM, DO prescribe under Medicare Part D?
In 2023, TUCKER BALAM, DO wrote 503 Medicare Part D claims totaling $61K in drug costs for 41 beneficiaries.
Where is TUCKER BALAM, DO located?
TUCKER BALAM, DO is located at 714 N MICHIGAN ST, SOUTH BEND, IN, 46601. Phone: (574) 647-7477.
What is TUCKER BALAM, DO's NPI number?
TUCKER BALAM, DO's National Provider Identifier (NPI) is 1861652463, issued on 06/17/2008.
Does TUCKER BALAM, DO prescribe more brand-name or generic drugs?
TUCKER BALAM, DO's prescribing is 13% brand-name and 87% generic drugs by claim count, with $50K in brand drug costs.
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 TUCKER BALAM, DO prescribe most often?
Based on 2023 Medicare Part D data, TUCKER BALAM, DO's most frequently prescribed drugs include Atorvastatin Calcium, Ibuprofen, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TUCKER BALAM, DO accept Medicare?
TUCKER BALAM, DO appears in CMS Medicare data with 503 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TUCKER BALAM, DO's credentials?
TUCKER BALAM, DO's NPI is 1861652463 with credentials DO. 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