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Active NPI 1225035959 Individual Practitioner Male Practitioner

Dr. David Howard Balaban , MD

Specialist • Charlottesville, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Balaban, MD is a certified Specialist practicing in Charlottesville, VA. With approximately 36 years of clinical experience since graduating from University Of Maryland School Of Medicine in 1990, Dr. Balaban delivers high-quality medical care to the local community at 1139 E HIGH ST.

Dr. Balaban is affiliated with Gastroenterology Associates Of Northern Virginia, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1139 E High St

Charlottesville, VA 229024856

Telephone 4348178484
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Maryland School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs -0.7 yrs vs City Avg
City Avg: 36.7 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Charlottesville, VA (878 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Balaban (36 Years) 36 Yrs
Charlottesville Specialty Average (36.7 Years) 36.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
327 263 $237.00 $87.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
191 172 $348.00 $124.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
146 145 $1426.00 $435.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
134 134 $542.00 $161.33
45380 Biopsy of large bowel using an endoscope
102 102 $1500.00 $307.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
88 88 $358.00 $107.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
59 59 $1362.00 $354.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
59 59 $1210.00 $319.81
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms
28 28 $310.00 $71.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
20 20 $1210.00 $325.59
76981 Elastography ultrasound of organ tissue
13 13 $340.00 $100.93
45378 Diagnostic exam of large bowel using a flexible endoscope
12 12 $1500.00 $325.67

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101049501

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
005802431 (VA)

Hospital & Practice Group Affiliations

Gastroenterology Associates Of Northern Virginia, Llc

24570 Gum Spring Rd, Sterling, VA 201662246

Phone: 7036988960

Gastroenterology Associates Of Northern Virginia, Llc

1139 E High St, Charlottesville, VA 229024849

Phone: 4348178484

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003815408

Doctor of Medicine (M.D.)

Dr. Emily Christman , MD

Internal Medicine - Gastroenterology

NPI 1083677199

Doctor of Medicine (M.D.)

NPI 1174520951

Doctor of Medicine (M.D.)

NPI 1386641157

Doctor of Medicine (M.D.)

Donna Smith , NP

Nurse Practitioner

NPI 1396744231

Nurse Practitioner

Dr. Elliot Smith , MD

Internal Medicine - Gastroenterology

NPI 1548559081

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2009

Registered at 1139 E HIGH ST, CHARLOTTESVILLE, VA 229024856 (Tel: 4348178484)

📍
Updated Business Mailing Address January 28, 2009

Registered at 1139 E HIGH ST, CHARLOTTESVILLE, VA 229024856 (Tel: 4348178484)

👤
Provider Name / Credentials Updated January 28, 2009

Recorded as DAVID BALABAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2009

Specialist (License #0101049501 in VA)

🟢
Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225035959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: January 28, 2009
Sole Proprietor: No

Mailing Address

1139 E High St

Charlottesville, VA 229024856

Phone: 4348178484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.