Paolo Balmaseda
NPI 1326427105 · Family Medicine Physician · Novi, MI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paolo Balmaseda is a Family Medicine Physician provider in Novi, MI (NPI 1326427105).
Provider details
- NPI number
- 1326427105
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301500673 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
391 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 124 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 77 | $110 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 73 | $93 |
| Advance Care Planning, First 30 Minutes99497 | 72 | $50 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 24 | $19 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 21 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 193 | 67 |
| Amlodipine Besylate | 162 | 52 |
| Levothyroxine Sodium | 128 | 40 |
| Losartan Potassium | 118 | 42 |
| Lisinopril | 112 | 39 |
| Simvastatin | 95 | 31 |
| Tamsulosin Hcl | 84 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (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)
- 10122 E 10th StSte 100Indianapolis, IN 46229Phone: (317) 355-5717
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2019-07-29
Frequently asked questions
- What is Paolo Balmaseda's NPI number?
- Paolo Balmaseda's National Provider Identifier (NPI) is 1326427105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paolo Balmaseda's specialty?
- Paolo Balmaseda is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paolo Balmaseda located?
- Paolo Balmaseda's practice location on file with NPPES is 26750 Providence Pkwy Ste 210, Novi, MI 48374-1212.
- What is Paolo Balmaseda's phone number?
- The practice phone number listed in the NPPES registry for Paolo Balmaseda is (248) 465-4782.
- Does Paolo Balmaseda accept Medicare?
- Paolo Balmaseda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paolo Balmaseda's NPI active?
- Yes — Paolo Balmaseda's NPI (1326427105) is active in the NPPES registry as of the last update on 2019-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.