Brandon Balabus, P.A.
NPI 1306253273 · Physician Assistant · Bronx, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Balabus, P.A. is a Physician Assistant provider in Bronx, NY (NPI 1306253273).
Provider details
- NPI number
- 1306253273
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 017725 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
678 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 301 | $72 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 106 | $90 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 77 | $111 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 46 | $41 |
| Automated Urinalysis Test81003 | 30 | $2 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 70 | 70 |
| Doxycycline Hyclate | 48 | 47 |
| Prednisone | 37 | 32 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 24 | 22 |
| Methylprednisolone | 20 | 20 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 19 |
| Ofloxacin | 15 | 15 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-12
- Last updated
- 2014-07-12
Frequently asked questions
- What is Brandon Balabus's NPI number?
- Brandon Balabus's National Provider Identifier (NPI) is 1306253273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Balabus's specialty?
- Brandon Balabus is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Brandon Balabus located?
- Brandon Balabus's practice location on file with NPPES is 111 E 210th St, Bronx, NY 10467-2401.
- What is Brandon Balabus's phone number?
- The practice phone number listed in the NPPES registry for Brandon Balabus is (516) 712-0706.
- Does Brandon Balabus accept Medicare?
- Brandon Balabus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brandon Balabus's NPI active?
- Yes — Brandon Balabus's NPI (1306253273) is active in the NPPES registry as of the last update on 2014-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.