Charles Frederick Balbuena Heath, M.D.
NPI 1851389076ActiveIndividual· General Practice· Green Cove Springs, FL
General Practice (M.D.) with Rural Health Care Incorporated, practicing in Green Cove Springs, Florida. Their prescriptions cost Medicare Part D more than their services did: $483,178 for 4,078 claims, against $321.65 paid for services in 2024. Edwards Lifesciences Corporation was the largest of 6 companies reporting payments in 2025, $255.31 in all, mostly food and beverage.
Overview
| NPI | 1851389076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 11, 2005 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 16184 | PR |
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 - General Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 45 across 7 procedure codes |
| Paid by Medicare | $321.65 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,078 · 7,936 30-day fills |
|---|---|
| Patients | 221 |
| Total drug cost | $483,178 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Rural Health Care IncorporatedKeystone Heights, FL · 29 clinicians
Industry payments (Open Payments)
- 2025$255.31 · 10 payments from 6 companies
- 2024$146.51 · 6 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Edwards Lifesciences Corporation | $102.19 | 1 |
| Lilly USA, LLC | $46.33 | 3 |
| Exact Sciences Corporation | $35.02 | 2 |
| Amgen Inc. | $32.70 | 2 |
| Novo Nordisk Inc | $21.51 | 1 |
What the 2025 payments were for
- Food and Beverage$255.31 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general practitioners in Green Cove Springs
- 1497187843
- 1073519518