Pablo Balboa-Marciack, MD
NPI 1255357067 · Family Medicine Physician · Calhoun, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pablo Balboa-Marciack, MD is a Family Medicine Physician provider in Calhoun, GA (NPI 1255357067).
Provider details
- NPI number
- 1255357067
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 055409 (GA)
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
888 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 | 355 | $119 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 140 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 125 | $83 |
| Hemoglobin A1c Level83036 | 111 | $9 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 60 | $68 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 | 46 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 120 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 313 | 75 |
| Amlodipine Besylate | 261 | 84 |
| Atorvastatin Calcium | 254 | 75 |
| Metformin Hcl | 222 | 55 |
| Lisinopril | 221 | 57 |
| Gabapentin | 169 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$264 across 14 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
- 2006-07-14
- Last updated
- 2018-12-13
Frequently asked questions
- What is Pablo Balboa-Marciack's NPI number?
- Pablo Balboa-Marciack's National Provider Identifier (NPI) is 1255357067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pablo Balboa-Marciack's specialty?
- Pablo Balboa-Marciack is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pablo Balboa-Marciack located?
- Pablo Balboa-Marciack's practice location on file with NPPES is 100 Hospital Ct, Calhoun, GA 30701-2077.
- What is Pablo Balboa-Marciack's phone number?
- The practice phone number listed in the NPPES registry for Pablo Balboa-Marciack is (706) 602-8200.
- Does Pablo Balboa-Marciack accept Medicare?
- Pablo Balboa-Marciack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pablo Balboa-Marciack's NPI active?
- Yes — Pablo Balboa-Marciack's NPI (1255357067) is active in the NPPES registry as of the last update on 2018-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.