Eduardo Balbona, M.D.
NPI 1073506168 · Internal Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eduardo Balbona, M.D. is a Internal Medicine Physician provider in Jacksonville, FL (NPI 1073506168).
Provider details
- NPI number
- 1073506168
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME61191 (FL)
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
20 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
1,912 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,243 | $124 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 286 | $176 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 135 | $16 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 67 | $14 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 67 | $88 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 116 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 576 | 180 |
| Montelukast Sodium | 458 | 198 |
| Rosuvastatin Calcium | 412 | 130 |
| Carvedilol | 318 | 94 |
| Atorvastatin Calcium | 315 | 109 |
| Losartan Potassium | 280 | 82 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$941 across 52 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
- 2005-08-24
- Last updated
- 2016-07-20
Frequently asked questions
- What is Eduardo Balbona's NPI number?
- Eduardo Balbona's National Provider Identifier (NPI) is 1073506168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eduardo Balbona's specialty?
- Eduardo Balbona is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eduardo Balbona located?
- Eduardo Balbona's practice location on file with NPPES is 2257 Oak St, Jacksonville, FL 32204.
- What is Eduardo Balbona's phone number?
- The practice phone number listed in the NPPES registry for Eduardo Balbona is (904) 388-9202.
- Does Eduardo Balbona accept Medicare?
- Eduardo Balbona is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eduardo Balbona's NPI active?
- Yes — Eduardo Balbona's NPI (1073506168) is active in the NPPES registry as of the last update on 2016-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.