Gautam Balakrishnan, MD
NPI 1609214519 · Pulmonary Disease Physician · Saint Joseph, MO
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gautam Balakrishnan, MD is a Pulmonary Disease Physician provider in Saint Joseph, MO (NPI 1609214519).
Provider details
- NPI number
- 1609214519
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- R9809 (IA)
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
13 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
2,157 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 540 | $74 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 401 | $91 |
| Critical Care, First 30-74 Minutes99291 | 200 | $201 |
| Test to Determine Lung Volumes Using Sensors94726 | 126 | $11 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 125 | $8 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 120 | $9 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 230 | 89 |
| Montelukast Sodium | 172 | 53 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 148 | 55 |
| Budesonide/Formoterol Fumaratebrand: Symbicort | 80 | 33 |
| Azithromycin | 76 | 47 |
| Umeclidinium Bromidebrand: Incruse Ellipta | 74 | 20 |
| Tiotropium Bromide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,753 across 15 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
Additional practice locations (1)
- 1415 Woodland AveSuite 140Des Moines, IA 50309-3203Phone: (515) 241-5995Fax: (515) 241-6576
Registry dates
- Enumerated
- 2013-06-13
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Frequently asked questions
- What is Gautam Balakrishnan's NPI number?
- Gautam Balakrishnan's National Provider Identifier (NPI) is 1609214519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gautam Balakrishnan's specialty?
- Gautam Balakrishnan is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Gautam Balakrishnan located?
- Gautam Balakrishnan's practice location on file with NPPES is 5301 Faraon St Ste 210b, Saint Joseph, MO 64506.
- What is Gautam Balakrishnan's phone number?
- The practice phone number listed in the NPPES registry for Gautam Balakrishnan is (816) 271-1385.
- Does Gautam Balakrishnan accept Medicare?
- Gautam Balakrishnan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gautam Balakrishnan's NPI active?
- Yes — Gautam Balakrishnan's NPI (1609214519) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.