Pablo E. Balboa-Marciack, MD
NPI 1255357067ActiveIndividual· Family Medicine· Calhoun, GA
Family Medicine (MD) with Adventist Health System Georgia Inc, practicing in Calhoun, Georgia. Their prescriptions cost Medicare Part D more than their services did: $572,932 for 6,963 claims, against $46,639 paid for services in 2024. Abbvie Inc. was the largest of 6 companies reporting payments in 2025, $141.53 in all, mostly food and beverage. Lists Adventhealth Gordon as a hospital affiliation.
Overview
| NPI | 1255357067 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Dec 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 055409 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 280 |
|---|---|
| Services billed | 2,051 across 52 procedure codes |
| Paid by Medicare | $46,639 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,963 · 13,576 30-day fills |
|---|---|
| Patients | 500 |
| Total drug cost | $572,932 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Adventist Health System Georgia IncAdairsville, GA · 256 clinicians
Hospital affiliation
- Adventhealth GordonCalhoun, GA
Other facilities
- Adventhealth Home HealthHome health agency · Calhoun, GA
- North Georgia Home Health Agency, An Amedysis CompHome health agency · Ringgold, GA
Industry payments (Open Payments)
- 2025$141.53 · 6 payments from 6 companies
- 2024$263.50 · 14 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $34.83 | 1 |
| Paratek Pharmaceuticals, Inc. | $25.49 | 1 |
| Novo Nordisk Inc | $23.21 | 1 |
| Pfizer Inc. | $20.51 | 1 |
| Lilly USA, LLC | $19.71 | 1 |
What the 2025 payments were for
- Food and Beverage$141.53 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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