Pratap Balusu, MD
NPI 1083607519ActiveIndividual· Internal Medicine· Lima, OH
Internal Medicine (MD) with Mercy Health Physicians Lima Specialty Care LLC and 2 other groups, practicing in Lima, Ohio. Their prescriptions cost Medicare Part D more than their services did: $714,157 for 4,891 claims, against $62,147 paid for services in 2024. Inspire Medical Systems, Inc. was the largest of 2 companies reporting payments in 2025, $39.95 in all, mostly food and beverage. Lists Grand Lake Health System and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1083607519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Aug 30, 2005 |
| Last updated in NPPES | Oct 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 72413 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 369 |
|---|---|
| Services billed | 872 across 23 procedure codes |
| Paid by Medicare | $62,147 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,891 · 9,988 30-day fills |
|---|---|
| Patients | 538 |
| Total drug cost | $714,157 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Mercy Health Physicians Lima Specialty Care LLCLima, OH · 253 clinicians
- Knd Development 59 LLCFort Lauderdale, FL · 177 clinicians
- Mercy Health Physicians Lima, LLCDelphos, OH · 55 clinicians
Hospital affiliations
- Grand Lake Health SystemSaint Marys, OH
- Lima Memorial Health SystemLima, OH
- Mercy Health St Ritas Medical CenterLima, OH
Other facilities
- Kindred Hospital LimaLong-term care hospital · Lima, OH
Industry payments (Open Payments)
- 2025$39.95 · 2 payments from 2 companies
- 2024$143.16 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $21.35 | 1 |
| Exact Sciences Corporation | $18.60 | 1 |
What the 2025 payments were for
- Food and Beverage$39.95 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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