David Howard Balaban, MD
NPI 1225035959ActiveIndividual· Specialist· Charlottesville, VA
Specialist (MD) in Charlottesville, Virginia, trained at University of Maryland School of Medicine (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $689,432 for 1,285 claims, against $199,032 paid for services in 2024. Abbvie Inc. was the largest of 8 companies reporting payments in 2025, $931.64 in all, mostly food and beverage.
Overview
| NPI | 1225035959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 7, 2005 |
| Last updated in NPPES | Jan 28, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 0101049501 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (DC); Practitioner - Gastroenterology (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 886 |
|---|---|
| Services billed | 1,255 across 29 procedure codes |
| Paid by Medicare | $199,032 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,285 · 2,112 30-day fills |
|---|---|
| Patients | 411 |
| Total drug cost | $689,432 |
| Generic share | 78% of claims |
Education and affiliations
| Medical school | University of Maryland School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical group
- Gastroenterology Associates of Northern Virginia, LLCAlexandria, VA · 100 clinicians
Hospital affiliations
- Sentara Martha Jefferson HospitalCharlottesville, VA
- University of Virginia Medical CenterCharlottesville, VA
Industry payments (Open Payments)
- 2025$931.64 · 12 payments from 8 companies
- 2024$101.15 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $276.71 | 3 |
| Enterra Medical, Inc. | $170.20 | 1 |
| Genzyme Corporation | $113.62 | 1 |
| Madrigal Pharmaceuticals | $111.01 | 1 |
| Janssen Biotech, Inc. | $106.25 | 1 |
What the 2025 payments were for
- Food and Beverage$899.37 · 11 payments
- Education$32.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 Specialist providers in Charlottesville · All Specialist providers in Virginia