DR. PRASHANT BALIGA (M.D.) – Internal Medicine Physician, NPI 1013114305
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,409 INTERNAL MEDICINE in GA
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Provider Addresses for DR. PRASHANT BALIGA (M.D.)
2801, Chancellorsville Drive, Tallahassee, Leon County, Florida, 32312, United States
APT 118
TALLAHASSEE, FL 323124815
Phone: (989) 906-2397
Type: Mailing
915, Gordon Avenue, Fletcherville, Thomasville, Thomas County, Georgia, 31792, United States
THOMASVILLE, GA 317926614
Phone: (229) 228-8575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Bigfoot Biomedical Inc ($104).
Total Amount
$186
General + Research + Ownership
Payments
5
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bigfoot Biomedical Inc | $104 |
| Medtronic, Inc. | $31 |
| Janssen Pharmaceuticals, Inc | $17 |
| AstraZeneca Pharmaceuticals LP | $17 |
| PFIZER INC. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101208000009 | I | Internal Medicine | GA | TBD |
| I20220329002471 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 449 | 192 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 258 | 130 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 150 | 144 | $0 |
| 99497 | Advance care planning, first 30 minutes | 113 | 108 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 75 | 74 | $0 |
Insurance plans in this area (ZIP 32312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Internal Medicine | LA | |
| Hospitalist, Internal Medicine | GA | |
| - | GA | |
| Emergency Medicine, Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Physician Assistant | GA |
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