Richard Balaban, M.D.
NPI 1780793281 · Internal Medicine Physician · Somerville, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Balaban, M.D. is a Internal Medicine Physician provider in Somerville, MA (NPI 1780793281).
Provider details
- NPI number
- 1780793281
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 150331 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
74 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 31 | $94 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 26 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $65 |
Typical Medicare-allowed amounts for these services range $65–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 143 | 45 |
| Metformin Hcl | 73 | 26 |
| Amlodipine Besylate | 69 | 23 |
| Omeprazole | 64 | 22 |
| Metoprolol Succinate | 62 | 15 |
| Lisinopril | 61 | 22 |
| Losartan Potassium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2011-12-14
Frequently asked questions
- What is Richard Balaban's NPI number?
- Richard Balaban's National Provider Identifier (NPI) is 1780793281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Balaban's specialty?
- Richard Balaban is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Balaban located?
- Richard Balaban's practice location on file with NPPES is 236 Highland Ave, Somerville, MA 02143-1495.
- What is Richard Balaban's phone number?
- The practice phone number listed in the NPPES registry for Richard Balaban is (617) 591-6300.
- Does Richard Balaban accept Medicare?
- Richard Balaban is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Balaban's NPI active?
- Yes — Richard Balaban's NPI (1780793281) is active in the NPPES registry as of the last update on 2011-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.