Gautam Balakrishnan, MD
NPI 1609214519ActiveIndividual· Internal Medicine, Pulmonary Disease· Saint Joseph, MO
Internal Medicine, Pulmonary Disease (MD) with Heartland Regional Medical Center, practicing in Saint Joseph, Missouri. Their prescriptions cost Medicare Part D more than their services did: $766,637 for 1,605 claims, against $147,610 paid for services in 2024. Noah Medical Corporation was the largest of 14 companies reporting payments in 2025, $1,384 in all, mostly food and beverage. Lists Amberwell Atchison Association and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1609214519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2013 |
| Last updated in NPPES | May 26, 2021 |
| Certified by provider | May 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 2016023333 | MO |
| Internal Medicine | 207R00000X | R9809 | IA |
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 - Pulmonary Disease (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 645 |
|---|---|
| Services billed | 2,292 across 50 procedure codes |
| Paid by Medicare | $147,610 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,605 · 2,717 30-day fills |
|---|---|
| Patients | 302 |
| Total drug cost | $766,637 |
| Generic share | 53% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Heartland Regional Medical CenterSt Joseph, MO · 394 clinicians
Hospital affiliations
- Amberwell Atchison AssociationAtchison, KS
- Mosaic Life Care at St JosephSaint Joseph, MO
- Mosaic Medical Center - MaryvilleMaryville, MO
- Mosaic Medical Center AlbanyAlbany, MO
Other facilities
- Mosiac Life Care at St JosephLong-term care hospital · Saint Joseph, MO
Industry payments (Open Payments)
- 2025$1,384 · 32 payments from 14 companies
- 2024$2,753 · 22 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Noah Medical Corporation | $753.64 | 6 |
| Astrazeneca Pharmaceuticals LP | $160.67 | 10 |
| Pulmonx Corporation | $118.19 | 4 |
| Galvanize Therapeutics, Inc | $83.28 | 1 |
| Pinnacle Biologics, Inc | $61.41 | 1 |
What the 2025 payments were for
- Food and Beverage$1,384 · 32 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pulmonologists in Saint Joseph
- 1134140270
- 1205067154
- 1598011694
- 1609808781
- 1891083382
- 1225680630
- 1326069469
- 1336171701