Prudencio Balagtas, D.O.
NPI 1366505059 · Physical Medicine & Rehabilitation Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prudencio Balagtas, D.O. is a Physical Medicine & Rehabilitation Physician provider in Cleveland, OH (NPI 1366505059).
Provider details
- NPI number
- 1366505059
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 58005145 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
464 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 | 156 | $85 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 77 | $105 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 40 | $148 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $231 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Each Additional Level64484 | 22 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 63 | 18 |
| Gabapentin | 54 | 17 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 25 | — |
| Ibuprofen | 21 | — |
| Baclofen | 16 | — |
| Meloxicam | 13 | — |
| Methadone Hcl | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$578 across 20 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
- 2006-12-18
- Last updated
- 2019-05-09
Frequently asked questions
- What is Prudencio Balagtas's NPI number?
- Prudencio Balagtas's National Provider Identifier (NPI) is 1366505059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prudencio Balagtas's specialty?
- Prudencio Balagtas is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Prudencio Balagtas located?
- Prudencio Balagtas's practice location on file with NPPES is 9500 Euclid Ave, Cleveland, OH 44195-0001.
- What is Prudencio Balagtas's phone number?
- The practice phone number listed in the NPPES registry for Prudencio Balagtas is (216) 636-5860.
- Does Prudencio Balagtas accept Medicare?
- Prudencio Balagtas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prudencio Balagtas's NPI active?
- Yes — Prudencio Balagtas's NPI (1366505059) is active in the NPPES registry as of the last update on 2019-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.