Jay Balachandran, MD
NPI 1396786273 · Pulmonary Disease Physician · Mequon, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Balachandran, MD is a Pulmonary Disease Physician provider in Mequon, WI (NPI 1396786273).
Provider details
- NPI number
- 1396786273
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 64930 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1,489 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) |
|---|---|---|
| Test for Exercise-Induced Lung Stress94618 | 328 | $32 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 247 | $118 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 160 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 153 | $11 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 147 | $9 |
| Home Sleep Test (hst) With Type III Portable Monitor, Unattended; Minimum of 4 Channels: 2 Respiratory Movement/Airflow, 1 Ecg/Heart Rate and 1 Oxygen SaturationG0399 | 76 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 440 | 92 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 210 | 82 |
| Prednisone | 149 | 71 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 108 | 26 |
| Montelukast Sodium | 107 | 46 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 81 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$611 across 25 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
- 2006-06-09
- Last updated
- 2016-11-07
Frequently asked questions
- What is Jay Balachandran's NPI number?
- Jay Balachandran's National Provider Identifier (NPI) is 1396786273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Balachandran's specialty?
- Jay Balachandran is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Jay Balachandran located?
- Jay Balachandran's practice location on file with NPPES is 13133 N Port Washington Rd, Mequon, WI 53097-2419.
- What is Jay Balachandran's phone number?
- The practice phone number listed in the NPPES registry for Jay Balachandran is (262) 243-5044.
- Does Jay Balachandran accept Medicare?
- Jay Balachandran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Balachandran's NPI active?
- Yes — Jay Balachandran's NPI (1396786273) is active in the NPPES registry as of the last update on 2016-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.