Luis Balbuena Jr., MD
NPI 1649254749ActiveIndividual· Otolaryngology· Marshall, TX
Otolaryngology (MD) in Marshall, Texas, trained at University of Texas Medical School at San Antonio (class of 1991). 384 Medicare patients in 2024, $58,960 paid; nearly all of their 1,302 Part D prescriptions were generic (97%). Amgen Inc. was the largest of 2 companies reporting payments in 2025, $55.12 in all, mostly education.
Overview
| NPI | 1649254749 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 1, 2005 |
| Last updated in NPPES | Jun 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | J5538 | TX |
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 - Otolaryngology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 384 |
|---|---|
| Services billed | 1,148 across 45 procedure codes |
| Paid by Medicare | $58,960 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,302 · 1,847 30-day fills |
|---|---|
| Patients | 379 |
| Total drug cost | $26,488 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Otolaryngology |
Medical group
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
Hospital affiliation
- Christus Good Shepherd Medical CenterLongview, TX
Industry payments (Open Payments)
- 2025$55.12 · 2 payments from 2 companies
- 2024$42.09 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $34.00 | 1 |
| Merz North America, Inc. | $21.12 | 1 |
What the 2025 payments were for
- Education$34.00 · 1 payment
- Food and Beverage$21.12 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records