Raphael Tito Balbino, M.D.
NPI 1972894921ActiveIndividual· Integrative Medicine· Jacksonville, FL
Opted out of Medicare from July 2023 to July 2027. Integrative Medicine (M.D.) with Lake Area Physical Therapy Inc., practicing in Jacksonville, Florida. Part D covered 903 prescriptions written in 2024, 90% of them generic. Jazz Pharmaceuticals Inc. was the largest of 2 companies reporting payments in 2025, $225.41 in all, mostly education. Lists Baptist Health Medical Center - Jacksonville as a hospital affiliation.
Overview
| NPI | 1972894921 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 26, 2011 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Integrative Medicine Primary | 202D00000X | ME123543 | FL |
| Family Medicine, Geriatric Medicine | 207QG0300X | ME123543 | FL |
| Family Medicine | 207Q00000X | ME123543 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 1, 2023 – Jul 1, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 903 · 1,855 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $69,080 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Geriatric Medicine |
Medical group
- Lake Area Physical Therapy Inc.Melrose, FL · 384 clinicians
Hospital affiliation
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
Industry payments (Open Payments)
- 2025$225.41 · 4 payments from 2 companies
- 2024$16.79 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Jazz Pharmaceuticals Inc. | $201.56 | 3 |
| Grifols USA, LLC | $23.85 | 1 |
What the 2025 payments were for
- Education$188.99 · 2 payments
- Food and Beverage$36.42 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Integrative Medicine providers in Jacksonville
- 1700507902
- 1922912674