Vinod Balachandran, M.D.
NPI 1306085006 · Surgery Physician · New York, NY
Enrolled with Medicare as Practitioner - Surgical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vinod Balachandran, M.D. is a Surgery Physician provider in New York, NY (NPI 1306085006).
Provider details
- NPI number
- 1306085006
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
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
17 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
57 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $93 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 19 | $52 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $105 |
Typical Medicare-allowed amounts for these services range $52–$105 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21,763 across 18 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
- 2009-02-19
- Last updated
- 2015-10-22
Frequently asked questions
- What is Vinod Balachandran's NPI number?
- Vinod Balachandran's National Provider Identifier (NPI) is 1306085006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vinod Balachandran's specialty?
- Vinod Balachandran is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Vinod Balachandran located?
- Vinod Balachandran's practice location on file with NPPES is 1275 York Ave, New York, NY 10065-6007.
- What is Vinod Balachandran's phone number?
- The practice phone number listed in the NPPES registry for Vinod Balachandran is (212) 639-2000.
- Does Vinod Balachandran accept Medicare?
- Vinod Balachandran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vinod Balachandran's NPI active?
- Yes — Vinod Balachandran's NPI (1306085006) is active in the NPPES registry as of the last update on 2015-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.