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Physician Profile

Luis Balbuena, MD

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At a glance

About Dr. Balbuena

Luis Balbuena, MD is a healthcare provider in Marshall, TX specializing in otolaryngology (ent). Luis trained at University of Texas Medical School at San Antonio, graduating in 1991. Medicare claims data shows Luis provided 1,021 services to 885 patients. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more, and test to assess middle ear function. This provider record is associated with NPI 1649254749.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

TX licenceAs reported to the NPI registry
No. J5538As reported
NPINational Provider Identifier
1649254749Issued 2005

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Dr. Balbuena's specialty?

Dr. Balbuena is an otolaryngology (ent) in Marshall, TX. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Dr. Balbuena?

Dr. Balbuena is listed at 703 S Washington Ave, Marshall, TX 75670. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Dr. Balbuena?

The number on file is (903) 927-6880. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Balbuena?

Dr. Balbuena's National Provider Identifier is 1649254749. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Dr. Balbuena's medical education?

Dr. Balbuena attended University of Texas Medical School at San Antonio, graduating in 1991. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Balbuena have?

Dr. Balbuena has 35 years experience. Calculated from a graduation year of 1991, reported in the CMS National Downloadable File.

CMS public data

What is Dr. Balbuena known for?

According to Medicare billing data, Dr. Balbuena performs procedures including removal of impacted ear wax, diagnostic exam of voice box using a flexible endoscope and diagnostic exam of nasal passages using an endoscope; provides treatments such as test to assess middle ear function and comprehensive hearing and speech recognition test, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Dr. Balbuena's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Balbuena. If this is you, claiming it is free.

Guide.md

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