Ashley Balaker, M.D.
NPI 1427387547 · Otolaryngology Physician · Laguna Hills, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ashley Balaker, M.D. is a Otolaryngology Physician provider in Laguna Hills, CA (NPI 1427387547).
Provider details
- NPI number
- 1427387547
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A108296 (CA)
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
16 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
1,593 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 428 | $138 |
| Exam of Ear Using a Microscope92504 | 324 | $33 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 281 | $179 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 186 | $211 |
| Removal of Impacted Cerumen (one Or Both Ears) By Physician on Same Date of Service As Audiologic Function TestingG0268 | 109 | $53 |
| Removal of Impacted Ear Wax69210 | 74 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 140 | 52 |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 138 | 83 |
| Ipratropium Bromide | 91 | 38 |
| Fluticasone Propionate | 83 | 48 |
| Fluocinolone Acetonide Oil | 70 | 52 |
| Fluocinolone Acetonide | 33 | 27 |
| Methylprednisolone | 29 | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$172 across 5 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
- 2009-12-19
- Last updated
- 2019-01-29
Frequently asked questions
- What is Ashley Balaker's NPI number?
- Ashley Balaker's National Provider Identifier (NPI) is 1427387547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashley Balaker's specialty?
- Ashley Balaker is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Ashley Balaker located?
- Ashley Balaker's practice location on file with NPPES is 24411 Health Center Dr Ste 370, Laguna Hills, CA 92653-3687.
- What is Ashley Balaker's phone number?
- The practice phone number listed in the NPPES registry for Ashley Balaker is (949) 364-4361.
- Does Ashley Balaker accept Medicare?
- Ashley Balaker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ashley Balaker's NPI active?
- Yes — Ashley Balaker's NPI (1427387547) is active in the NPPES registry as of the last update on 2019-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.