Dr. Ashley Erin Balaker, MD

  • Mission Viejo, CA
  • Otolaryngologist
NPI1427387547PAC ID0547429425
Medicare services, 2024
1,593
Medicare patients, 2024
580
Part D claims, 2024
786
Publications
8
MIPS score, 2024
50
Practice address
26726 Crown Valley Pkwy, Mission Viejo, CA 92691
Practice phone
Call (949) 364-4361
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Head and Neck Associates of Orange County an Incorprate

Mission Viejo, California

See all 5 affiliations

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Dr. Ashley Erin Balaker is an otolaryngologist in Mission Viejo, California

Dr. Balaker practices at Head and Neck Associates of Orange County an Incorprate in Mission Viejo, California.

Dr. Balaker's NPI, 1427387547, was assigned on December 19, 2009. Dr. Balaker graduated from Keck School of Medicine of USC in 2007. Dr. Balaker holds California license A108296.

NPI and contact details
Medicare PAC ID
0547429425
NPI enumeration date
December 19, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(949) 364-4361
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
45
Medical school graduation
2007

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Ashley Erin Balaker practices at Head and Neck Associates of Orange County an Incorprate in Mission Viejo, California

Dr. Balaker's primary practice is Head and Neck Associates of Orange County an Incorprate, at 26726 Crown Valley Pkwy, Mission Viejo, CA 92691 in Orange County. The practice phone is (949) 364-4361.

  • Head and Neck Associates of Orange County an Incorprate
    26726 Crown Valley Pkwy, Mission Viejo, CA 92691 · Orange CountyPhone(949) 364-4361

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Ashley Erin Balaker is affiliated with 4 sites of care and 1 medical group

Dr. Balaker's primary practice is Head and Neck Associates of Orange County an Incorprate in Mission Viejo, California. Dr. Balaker is also affiliated with Providence Mission Hospital. The medical group on file is Head & Neck Associates of Orange County. Dmand AI also links Dr. Balaker to 1 more hospital and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Dr. Balaker

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Ashley Erin Balaker's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balaker practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Head and Neck Associates of Orange County an IncorprateAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Ashley Erin Balaker is one of 1,107 otolaryngologists in California

Otolaryngology is Dr. Balaker's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Balaker is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dr. Balaker is licensed in California.

Specialties and state licenses

  • Otolaryngology, CaliforniaPrimaryLicense A108296 · 2009 to 2027 · taxonomy 207Y00000X

Clinical focus

Dmand AI lists acute sinusitis, chronic ear infection, chronic nasal allergies, chronic sinusitis, ear eustachian tube disorders, ear infection, endoscopic sinus surgery and hearing loss and impairment among the conditions Dr. Balaker treats.

Otolaryngologists near Dr. Balaker

Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.

1,107otolaryngologists in California
6otolaryngologists in Mission Viejo

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Ashley Erin Balaker billed Medicare for 1,593 services in 2024

CMS data shows 1,593 Medicare services from Dr. Balaker across 14 procedure codes in 2024, for 580 Medicare patients. Medicare paid $149,305 for them.

Medicare services, 20241,593
Medicare patients580
Paid by Medicare$149,305
Procedure codes14

Dr. Balaker's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 8172024: 7933%
Tests and treatments
2023: 4222024: 32423%
Surgery
2023: 2392024: 32436%
Other services
2023: 1532024: 10929%
Imaging
2023: 352024: 4323%

Where Dr. Balaker's Medicare services took place, 2024

  • In an office1,57899%
  • In a facility151%

Dr. Balaker compared with the California median for otolaryngologists, 2024

  • Dr. Balaker
  • California median
Medicare services
1,593vs 6662.4 times
Medicare patients
580vs 29696% above
Part D claims
728vs 1186.2 times

Medians across 1,045 otolaryngologists in California with Dmand AI profiles that report each measure.

Dr. Balaker's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Balaker

Need commercial claims for Dr. Balaker?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balaker and other otolaryngologists in California.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Ashley Erin Balaker treated 580 Medicare patients in 2024, average age 75

CMS counts 580 Medicare patients who saw Dr. Balaker in 2024. The largest group is 65 to 74, with 264 patients. 75% of them have high cholesterol, and 64% have high blood pressure. 10% are also on Medicaid. Their average risk score is 1.17, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Balaker's median patient age at 64, with 61% women.

Medicare patients, 2024580
Average age75
Average risk score1.17
Also on Medicaid10%

Dr. Balaker's Medicare patients by age, 2024

Dr. Balaker's Medicare patients by sex, 2024

  • Women35561%
  • Men22539%

Chronic conditions among Dr. Balaker's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure64%
  3. Arthritis52%
  4. Ischemic heart disease26%
  5. Anxiety22%
  6. Osteoporosis22%
  7. Diabetes21%
  8. Mood disorders21%

Share of Medicare patients with each condition. A patient can have several.

Dr. Balaker's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 64

Patient panel by sex, all payers

  • Women61%
  • Men38%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Ashley Erin Balaker wrote 786 Medicare Part D claims in 2024

In 2024, Dr. Balaker wrote 786 Medicare Part D claims for 360 patients. 94% of them were for generic drugs. CMS names the drug for 728 of them, across 14 drugs with 11 or more claims each, at $15,808 in total drug cost. In 2023, CMS named 823 claims across 15 drugs.

Part D claims, 2024786
Drugs named by CMS14
Total drug cost$15,808
Part D patients360

Dr. Balaker's Part D claims by kind of drug, 2024

  • Generic736 claims94%
  • Brand-name50 claims6%

Dr. Balaker's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Balaker's Part D claims, 2024

  • Antibiotics8%66 of 786 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 8232024: 72812%

Drugs named by CMS: 14 in 2024, 15 in 2023.

See all prescribing by Dr. Balaker

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Ashley Erin Balaker scored 50 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 50 out of 100 for Dr. Balaker for performance year 2024, reported individually. Dr. Balaker accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Balaker's MIPS scores, performance year 2024

  • 50of 100Final score
  • 0of 100Quality
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

For MedTech and pharma teams

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Dr. Ashley Erin Balaker has 8 publications on record

Dmand AI links 8 papers to Dr. Balaker, published from 2010 to 2014. 2011 was the busiest year, with 2. Dr. Balaker's most frequent co-authors are Hernan Md Goldsztein, MD, Akira Ishiyama, MD and Elliot Abemayor, MD.

Papers8
Years published2010 to 2014

Dr. Balaker's papers by year, 2010 to 2014

Dr. Balaker's most frequent co-authors

Recent publications by Dr. Balaker

See all 8 publications and co-authors

See who Dr. Balaker researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Balaker works with, so you can find a warm path to the right otolaryngologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Ashley Erin Balaker received $18,367 in industry payments from 2016 to 2025

CMS Open Payments shows 120 general payments to Dr. Balaker from 29 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 81% of the total. Medical Device Business Services, Inc. paid the most, $10,500.

General payments to Dr. Balaker by program year, 2016 to 2025

General payments to Dr. Balaker by kind, 2016 to 2025

$18.4Kin total
  • Consulting fees$14,85081%
  • Food and beverage$3,00616%
  • Travel and lodging$5113%

Companies that paid Dr. Balaker the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Balaker

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Ashley Erin Balaker has 15 awards and honors on record

Dmand AI lists 15 awards for Dr. Balaker, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Balaker

  1. 2013
    • CMS Stage 1 EHR
  2. 2011
    • AAO-HNS Humanitarian Travel Grant
    • ARO Resident Travel Grant
    • Chairman’s Resident Award
  3. 2010
    • NIDCD National Temporal Bone Registry Otopathology Research Travel Fellowship
  4. 2009
    • AAO-HNS Resident Leadership Grant
See all 15 awards

Source: Dmand AI Professional Profile Data

Dr. Ashley Erin Balaker graduated from Keck School of Medicine of USC

Dr. Balaker graduated from Keck School of Medicine of USC in 2007. Dr. Balaker is a member of NHS.

  1. Medical schoolKeck School of Medicine of USC
  2. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Ashley Erin Balaker accepts plans from 15 insurance carriers

Dr. Balaker is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Humana
  • Blue Cross Blue Shield of Massachusetts
  • Excellus BlueCross BlueShield
  • +7 more carriersWith a free account

Plan types Dr. Balaker accepts, by number of carriers

  1. PPO11
  2. Medicare9
  3. HMO7
  4. EPO5
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Ashley Erin Balaker's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Ashley Erin Balaker

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Ashley Erin Balaker's NPI number?

Dr. Ashley Erin Balaker's NPI number is 1427387547. It was assigned on December 19, 2009, and it is active in the NPI Registry.

What kind of doctor is Dr. Ashley Erin Balaker?

Dr. Ashley Erin Balaker is an otolaryngologist in Mission Viejo, California. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Ashley Erin Balaker practice?

Dr. Balaker practices at 26726 Crown Valley Pkwy, Mission Viejo, CA 92691. Dr. Balaker's primary practice is Head and Neck Associates of Orange County an Incorprate in Mission Viejo, California. Dmand AI also links Dr. Balaker to 1 hospital and 1 group practice or clinic.

What is Dr. Ashley Erin Balaker's office phone number?

The practice phone on file for Dr. Balaker is (949) 364-4361.

What is Dr. Ashley Erin Balaker's medical license number?

Dr. Balaker holds California license A108296.

Which hospitals is Dr. Ashley Erin Balaker affiliated with?

Dr. Balaker is affiliated with Providence Mission Hospital. Dmand AI links Dr. Balaker to 1 more hospital.

What medical group is Dr. Ashley Erin Balaker part of?

Dr. Balaker is linked to Head & Neck Associates of Orange County.

Does Dr. Ashley Erin Balaker accept Medicare?

Yes. CMS data shows Dr. Balaker billed Medicare for 1,593 services in 2024, and Dr. Balaker accepts Medicare assignment.

What is Dr. Ashley Erin Balaker's MIPS score?

Dr. Balaker's MIPS final score for performance year 2024 is 50 out of 100, reported individually.

How many Medicare patients does Dr. Ashley Erin Balaker see?

CMS counts 580 Medicare patients who saw Dr. Balaker in 2024, with an average age of 75.

Show 9 more questionsShow fewer questions

Is Dr. Ashley Erin Balaker board certified?

Yes. Dr. Balaker is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.

What services does Dr. Ashley Erin Balaker bill to Medicare?

In 2024, Dr. Balaker's most billed Medicare services were office visit, established patient (99214), ear, nose and throat service (92504) and office visit, new patient (99204).

Where did Dr. Ashley Erin Balaker go to medical school?

Dr. Balaker graduated from Keck School of Medicine of USC in 2007.

What drugs does Dr. Ashley Erin Balaker prescribe most?

In 2024 Medicare Part D data, Dr. Balaker's most prescribed drugs by claims were Azelastine HCl, Tobramycin-Dexamethasone and Ipratropium Bromide.

Has Dr. Ashley Erin Balaker received payments from drug or device companies?

CMS Open Payments shows $18,367 in general payments to Dr. Balaker from 29 companies from 2016 to 2025. The largest total came from Medical Device Business Services, Inc.

How long has Dr. Ashley Erin Balaker been practicing?

Dr. Balaker graduated from medical school in 2007, 19 years ago.

Does Dr. Ashley Erin Balaker do research?

Dmand AI links 8 publications to Dr. Balaker, published from 2010 to 2014.

Who does Dr. Ashley Erin Balaker publish with?

Dr. Balaker's most frequent co-authors are Hernan Md Goldsztein, MD (3 shared papers), Akira Ishiyama, MD (2 shared papers) and Elliot Abemayor, MD (1 shared paper).

What insurance does Dr. Ashley Erin Balaker accept?

Dr. Balaker is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

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