Frank Baloh, MD
NPI 1538113865 · Ophthalmology Physician · Allentown, PA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Frank Baloh, MD is a Ophthalmology Physician provider in Allentown, PA (NPI 1538113865).
Provider details
- NPI number
- 1538113865
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD055635L (PA)
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
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
1,905 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 | 452 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 365 | $86 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 235 | $158 |
| Exam of Visual Field With Extended Testing92083 | 184 | $59 |
| Repair of Tendon of Upper Eyelid67904 | 148 | $820 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 550 | 461 |
| Erythromycin Basebrand: Erythromycin | 263 | 185 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 225 | 224 |
| Cyclosporinebrand: Restasis | 58 | 28 |
| Prednisolone Acetate | 55 | 38 |
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 40 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$53 across 2 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
- 2006-05-20
- Last updated
- 2020-04-17
- Certified
- 2020-04-17
Frequently asked questions
- What is Frank Baloh's NPI number?
- Frank Baloh's National Provider Identifier (NPI) is 1538113865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Frank Baloh's specialty?
- Frank Baloh is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Frank Baloh located?
- Frank Baloh's practice location on file with NPPES is 400 N 17th St, Allentown, PA 18104.
- What is Frank Baloh's phone number?
- The practice phone number listed in the NPPES registry for Frank Baloh is (610) 433-0450.
- Does Frank Baloh accept Medicare?
- Frank Baloh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Frank Baloh's NPI active?
- Yes — Frank Baloh's NPI (1538113865) is active in the NPPES registry as of the last update on 2020-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.