Ronald Balkissoon, MD
NPI 1013926468 · Pulmonary Disease Physician · Denver, CO
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ronald Balkissoon, MD is a Pulmonary Disease Physician provider in Denver, CO (NPI 1013926468).
Provider details
- NPI number
- 1013926468
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 33957 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
355 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 116 | $147 |
| Irrigation and Suction of Lung Airways to Obtain Cells Using an Endoscope31624 | 68 | $15 |
| Biopsy of Lung Airway Using an Endoscope31625 | 65 | $152 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 64 | $186 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 25 | $99 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Baclofen | 170 | 57 |
| Famotidine | 155 | 54 |
| Pantoprazole Sodium | 83 | 28 |
| Dexamethasone | 65 | 54 |
| Azelastine Hcl | 53 | 28 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 44 | — |
| Fluticasone Propionate | 39 | 21 |
| Azithromycin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$169,360 across 109 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Frequently asked questions
- What is Ronald Balkissoon's NPI number?
- Ronald Balkissoon's National Provider Identifier (NPI) is 1013926468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ronald Balkissoon's specialty?
- Ronald Balkissoon is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Ronald Balkissoon located?
- Ronald Balkissoon's practice location on file with NPPES is 1400 Jackson St, Denver, CO 80206-2761.
- What is Ronald Balkissoon's phone number?
- The practice phone number listed in the NPPES registry for Ronald Balkissoon is (303) 388-4461.
- Does Ronald Balkissoon accept Medicare?
- Ronald Balkissoon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ronald Balkissoon's NPI active?
- Yes — Ronald Balkissoon's NPI (1013926468) is active in the NPPES registry as of the last update on 2020-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.