2026 NPPES data Physician Assistant NPI 1972029809 PA-C
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Yahima Balboa, PA-C

Physician Assistant in Miami, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 149,975 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 293 beneficiaries · Physician Assistant avg: 790
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.5K
75 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Yahima Balboa, PA-C filed 1,376 Medicare Part D claims in 2023 as a Physician Assistant in Miami, Florida, prescribing 83% generic.

1K
Part D claims, 2023
83%
generic prescribing
$2.5K
industry payments (Sunshine Act)

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.

Yahima Balboa, PA-C's Medicare Part D volume vs every U.S. prescriber

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

1,376 Top 21% higher than 79% 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%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). This entry sits in this band. 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. 2K+: 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

What does the federal data show about Yahima Balboa, PA-C?

Quality data not reported

NPI registry status

Active

Issued 08/22/2017

NPI 1972029809

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

1,376 74% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Florida

How Physician Assistant compares to other specialties among Florida providers

Florida providers

Largest specialties in Florida (% of in-state providers)

Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Physician Assistant - 2.1%Physician Assistant2.1%
Largest specialties in Florida (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Physician Assistant. Verify directly:

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).

Yahima Balboa, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 9195 SUNSET DR STE 210, Miami, FL, 33173, with a listed phone of (305) 271-9065. NPI 1972029809 was issued on 08/22/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Balboa 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 1,376 prescription claims written by this provider, covering 293 Medicare beneficiaries and totaling roughly $195K in drug spend, split 16% brand-name and 83% 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

9195 SUNSET DR STE 210
Miami, FL 33173

Provider Details

NPI 1972029809
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 08/22/2017

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Yahima Balboa, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

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 Yahima Balboa, PA-C. To verify Yahima Balboa, PA-C'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

Yahima Balboa, PA-C - brand share 16.0%
Physician Assistant average

16% brand-name claims vs 83% generic, on 1,376 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.

1,376
Total Claims
$195K
Total Drug Cost
293
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,645
Total Day Supply
75,712
Brand vs Generic
16% brand / 83% generic
Brand Drug Cost
$175K
Generic Drug Cost
$20K
Antibiotic Claims
73

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.48
Gender Split
76% female / 24% male
Age Distribution
<65: 27, 65-74: 163, 75-84: 84, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What Yahima Balboa, PA-C 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
Atorvastatin Calcium
63
Levothyroxine Sodium
52
Escitalopram Oxalate
49
Losartan Potassium
44
Famotidine
38
Azelastine Hcl
36
Hydrochlorothiazide
35
Ozempic
Semaglutide
34
Azithromycin
33
Rosuvastatin Calcium
31

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

Physician Assistant Overview

How Yahima Balboa, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Yahima Balboa, PA-C's 1,376 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Florida

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Yahima Balboa, PA-C's specialty?
Yahima Balboa, PA-C specializes in Physician Assistant and practices in Miami, Florida. Credentials: PA-C.
How much does Yahima Balboa, PA-C prescribe under Medicare Part D?
In 2023, Yahima Balboa, PA-C wrote 1,376 Medicare Part D claims totaling $195K in drug costs for 293 beneficiaries.
Where is Yahima Balboa, PA-C located?
Yahima Balboa, PA-C is located at 9195 SUNSET DR STE 210, Miami, FL, 33173. Phone: (305) 271-9065.
What is Yahima Balboa, PA-C's NPI number?
Yahima Balboa, PA-C's National Provider Identifier (NPI) is 1972029809, issued on 08/22/2017.
Does Yahima Balboa, PA-C prescribe more brand-name or generic drugs?
Yahima Balboa, PA-C's prescribing is 16% brand-name and 83% generic drugs by claim count, with $175K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Yahima Balboa, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Yahima Balboa, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Yahima Balboa, PA-C accept Medicare?
Yahima Balboa, PA-C appears in CMS Medicare data with 1,376 Part D claims and 293 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Yahima Balboa, PA-C's credentials?
Yahima Balboa, PA-C's NPI is 1972029809 with credentials PA-C. 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

Compiled from official public sources by the PlainDoctor editorial team.