Charles Balbuena Heath, M.D.
NPI 1851389076 · General Practice Physician · Green Cove Springs, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charles Balbuena Heath, M.D. is a General Practice Physician provider in Green Cove Springs, FL (NPI 1851389076).
Provider details
- NPI number
- 1851389076
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16184 (PR)
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
19 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) |
|---|---|---|
| Urinalysis, Manual Test81002 | 19 | $3 |
Typical Medicare-allowed amounts for these services range $3–$3 (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 · 93 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 253 | 80 |
| Amlodipine Besylate | 163 | 48 |
| Gabapentin | 137 | 36 |
| Lisinopril | 122 | 43 |
| Losartan Potassium | 112 | 36 |
| Levothyroxine Sodium | 111 | 32 |
| Meloxicam | 99 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$147 across 6 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
- 2005-10-11
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Frequently asked questions
- What is Charles Balbuena Heath's NPI number?
- Charles Balbuena Heath's National Provider Identifier (NPI) is 1851389076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Balbuena Heath's specialty?
- Charles Balbuena Heath is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Balbuena Heath located?
- Charles Balbuena Heath's practice location on file with NPPES is 1305 N Orange Ave, Green Cove Springs, FL 32043-2547.
- What is Charles Balbuena Heath's phone number?
- The practice phone number listed in the NPPES registry for Charles Balbuena Heath is (787) 644-1472.
- Does Charles Balbuena Heath accept Medicare?
- Charles Balbuena Heath is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charles Balbuena Heath's NPI active?
- Yes — Charles Balbuena Heath's NPI (1851389076) is active in the NPPES registry as of the last update on 2023-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.