DR. JAY SHANKAR BALACHANDRAN (MD) – Pulmonary Disease Physician, NPI 1396786273
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
348 PULMONARY DISEASE in WI
Loading map...
Provider Addresses for DR. JAY SHANKAR BALACHANDRAN (MD)
788, North Jefferson Street, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
SUITE 300/ATTN. KAAREN BUTZEN
MILWAUKEE, WI 532023718
Phone: (414) 272-8950
Fax: (414) 272-0859
Type: Mailing
North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53024, United States
SUITE 104
MEQUON, WI 530972419
Phone: (262) 243-5044
Fax: (262) 243-2510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $1,034.
Total Amount is formed as General ($1,034) + Research ($0) + Ownership ($0) = $1,034.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($236).
Total Amount
$1,034
General + Research + Ownership
Payments
45
Total payment records
General Amount
$1,034
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-12-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20151229001002 | I | Pulmonary Disease | WI | 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 |
|---|---|---|---|---|
| 94618 | Test for exercise-induced lung stress | 208 | 148 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 181 | 104 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 75 | 73 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 75 | 74 | $0 |
| 94726 | Test to determine lung volumes using sensors | 74 | 73 | $0 |
Insurance plans in this area (ZIP 53202)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | WI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 89 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physical Therapist In Private Practice | WI | |
| U R O L O G Y | WI | |
| Internal Medicine | WI | |
| Physical Therapist In Private Practice | WI | |
| Internal Medicine | WI | |
| O P H T H A L M O L O G Y | WI | |
| - | WI | |
| Physician Assistant | WI | |
| Physical Therapist In Private Practice | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.