Marvin Balaan, MD
NPI 1306807615 · Critical Care Medicine (Internal Medicine) Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marvin Balaan, MD is a Critical Care Medicine (Internal Medicine) Physician provider in Pittsburgh, PA (NPI 1306807615).
Provider details
- NPI number
- 1306807615
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD061726L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
588 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 79 | $76 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 72 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 71 | $125 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 62 | $53 |
| Critical Care, First 30-74 Minutes99291 | 62 | $207 |
| Test to Determine Lung Volumes Using Sensors94726 | 49 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 169 | 36 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 113 | 35 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 74 | 19 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 58 | 15 |
| Prednisone | 35 | 14 |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$434 across 12 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
- 2006-03-29
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Frequently asked questions
- What is Marvin Balaan's NPI number?
- Marvin Balaan's National Provider Identifier (NPI) is 1306807615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marvin Balaan's specialty?
- Marvin Balaan is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Marvin Balaan located?
- Marvin Balaan's practice location on file with NPPES is 490 E North Ave, Pittsburgh, PA 15212-4771.
- What is Marvin Balaan's phone number?
- The practice phone number listed in the NPPES registry for Marvin Balaan is (412) 322-7202.
- Does Marvin Balaan accept Medicare?
- Marvin Balaan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marvin Balaan's NPI active?
- Yes — Marvin Balaan's NPI (1306807615) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.