Edward Balok, M.D.
NPI 1609884220 · Ophthalmology Physician · East China, MI
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Balok, M.D. is a Ophthalmology Physician provider in East China, MI (NPI 1609884220).
Provider details
- NPI number
- 1609884220
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- EB055964 (MI)
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
3,104 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 Complete Exam of Visual System92014 | 658 | $117 |
| Established Patient Problem Focused Exam of Visual System92012 | 513 | $83 |
| Imaging of Retina92134 | 310 | $37 |
| Exam of Visual Field With Extended Testing92083 | 281 | $57 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 233 | $38 |
| Photography of the Retina92250 | 207 | $33 |
| Removal of Cataract With Insertion of Prosthetic Lens |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 637 | 148 |
| Prednisolone Acetate | 415 | 337 |
| Ketorolac Tromethamine | 385 | 324 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 155 | 43 |
| Timolol Maleate | 118 | 41 |
| Bimatoprostbrand: Lumigan | 108 | 30 |
| Brimonidine Tartrate | 46 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$984 across 16 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
- 2006-08-03
- Last updated
- 2010-08-09
Frequently asked questions
- What is Edward Balok's NPI number?
- Edward Balok's National Provider Identifier (NPI) is 1609884220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Balok's specialty?
- Edward Balok is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Balok located?
- Edward Balok's practice location on file with NPPES is 4050 River Rd, East China, MI 48054-2908.
- What is Edward Balok's phone number?
- The practice phone number listed in the NPPES registry for Edward Balok is (810) 329-9045.
- Does Edward Balok accept Medicare?
- Edward Balok is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Balok's NPI active?
- Yes — Edward Balok's NPI (1609884220) is active in the NPPES registry as of the last update on 2010-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.