Andrew Peter Balbaugh, M.D.

NPI 1265640411ActiveIndividual· Internal Medicine· Georgetown, KY

Internal Medicine (M.D.) in Georgetown, Kentucky, trained at Northeastern Ohio University College of Medicine (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $428,029 for 4,874 claims, against $10,368 paid for services in 2024. Abbvie Inc. was the largest of 23 companies reporting payments in 2025, $1,725 in all, mostly food and beverage.

Overview

NPI	1265640411
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	May 20, 2007
Last updated in NPPES	Feb 11, 2017

Specialties and licenses

Taxonomy	Code	License	State
Internal Medicine Primary	207R00000X	41057	KY
Pediatrics	208000000X	41057	KY

About license numbers in NPPES

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 (KY)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	55
Services billed	176 across 19 procedure codes
Paid by Medicare	$10,368

Part D prescriptions in 2024

Prescriptions (claims)	4,874 · 8,978 30-day fills
Patients	237
Total drug cost	$428,029
Generic share	86% of claims

Medicare sources and data years

Education and affiliations

Medical school	Northeastern Ohio University College of Medicine
Graduation year	2003
Medicare specialty	Internal Medicine
Secondary specialties	Pediatric Medicine