Pragathi Balakrishna, M.D.
NPI 1295112118 · Hematology & Oncology Physician · Medford, OR
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragathi Balakrishna, M.D. is a Hematology & Oncology Physician provider in Medford, OR (NPI 1295112118).
Provider details
- NPI number
- 1295112118
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 21961 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,522 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) |
|---|---|---|
| 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 | 633 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 470 | $98 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 235 | $145 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 66 | $182 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $67 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 147 | 46 |
| Prochlorperazine Maleate | 95 | 59 |
| Gabapentin | 92 | 22 |
| Ondansetron Hcl | 89 | 53 |
| Lorazepam | 50 | 19 |
| Exemestane | 49 | 14 |
| Apixabanbrand: Eliquis | 49 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$50 across 3 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
Additional practice locations (1)
- 510 Sw Ramsey AveGrants Pass, OR 97527-5554Phone: (541) 789-4673Fax: (541) 789-2121
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2022-01-17
- Certified
- 2022-01-13
Frequently asked questions
- What is Pragathi Balakrishna's NPI number?
- Pragathi Balakrishna's National Provider Identifier (NPI) is 1295112118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragathi Balakrishna's specialty?
- Pragathi Balakrishna is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Pragathi Balakrishna located?
- Pragathi Balakrishna's practice location on file with NPPES is 3011 E Barnett Rd, Medford, OR 97504.
- What is Pragathi Balakrishna's phone number?
- The practice phone number listed in the NPPES registry for Pragathi Balakrishna is (541) 789-4673.
- Does Pragathi Balakrishna accept Medicare?
- Pragathi Balakrishna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragathi Balakrishna's NPI active?
- Yes — Pragathi Balakrishna's NPI (1295112118) is active in the NPPES registry as of the last update on 2022-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.