Dr. David L. Balfe, MD
- Medicare services, 2024
- 3,295
- Medicare patients, 2024
- 498
- Part D claims, 2024
- 136
- MIPS score, 2024
- 100
- Hospital affiliations
- 2
- Practice address
- 3828 Delmas Ter, Culver City, CA 90232
- Practice phone
- Call (310) 836-7000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Southern California Healthcare System, Inc
Culver City, California
Find Dr. Balfe's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. David L. Balfe is a pulmonologist in Culver City, California
Dr. Balfe practices at Southern California Healthcare System, Inc in Culver City, California.
Dr. Balfe's NPI, 1265410146, was assigned on January 3, 2006. Dr. Balfe graduated from University of the Witwatersrand in 1984. Dr. Balfe holds California license A66798.
- NPI
- 1265410146NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4789872730
- NPI enumeration date
- January 3, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (310) 836-7000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 68
- Medical school graduation
- 1984
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. David L. Balfe practices at Southern California Healthcare System, Inc in Culver City, California
Dr. Balfe's primary practice is Southern California Healthcare System, Inc, at 3828 Delmas Ter, Culver City, CA 90232 in Los Angeles County. The practice phone is (310) 836-7000.
- Southern California Healthcare System, Inc3828 Delmas Ter, Culver City, CA 90232 · Los Angeles CountyPhone(310) 836-7000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. David L. Balfe is affiliated with 3 sites of care and 1 medical group
Dr. Balfe's primary practice is Southern California Healthcare System, Inc in Culver City, California. Dr. Balfe is also affiliated with Cedars-Sinai Medical Center. The medical group on file is Dr. Avi Ishaaya Wellness Centers. Dmand AI also links Dr. Balfe to 1 more hospital, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. David L. Balfe's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balfe practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Southern California Healthcare System, Inc | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. David L. Balfe is one of 1,339 pulmonologists in California
Pulmonary disease is Dr. Balfe's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Balfe is licensed in California.
Specialties and state licenses
- Pulmonary disease, CaliforniaPrimary
Clinical focus
Dmand AI lists acid reflux, aneurysm, arthritis, atrial fibrillation and flutter, cerebrovascular disease, chronic anemia, chronic diabetes and chronic hypertension among the conditions Dr. Balfe treats.
Pulmonologists near Dr. Balfe
Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. David L. Balfe billed Medicare for 3,295 services in 2024
CMS data shows 3,295 Medicare services from Dr. Balfe across 8 procedure codes in 2024, for 498 Medicare patients. Medicare paid $250,222 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Balfe's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 3,4212024: 3,2954%
Dr. Balfe compared with the California median for pulmonologists, 2024
- Dr. Balfe
- California median
- Medicare services
- 3,295vs 6495.1 times
- Medicare patients
- 498vs 27283% above
- Part D claims
- 57vs 42186% below
Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.
Dr. Balfe'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.
Need commercial claims for Dr. Balfe?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balfe and other pulmonologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. David L. Balfe treated 498 Medicare patients in 2024, average age 74
CMS counts 498 Medicare patients who saw Dr. Balfe in 2024. The largest group is 65 to 74, with 184 patients. 75% of them have arthritis, and 75% have high blood pressure. 87% are also on Medicaid. Their average risk score is 4.00, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Balfe's median patient age at 61, with 37% women.
Dr. Balfe's Medicare patients by age, 2024
Dr. Balfe's Medicare patients by sex, 2024
- Women23848%
- Men26052%
Chronic conditions among Dr. Balfe's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Mood disorders75%
- Depression72%
- Chronic kidney disease67%
- Diabetes67%
- Anxiety65%
Share of Medicare patients with each condition. A patient can have several.
Dr. Balfe's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 61
Patient panel by sex, all payers
- Women37%
- Men63%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. David L. Balfe wrote 136 Medicare Part D claims in 2024
In 2024, Dr. Balfe wrote 136 Medicare Part D claims. 85% of them were for generic drugs. CMS names the drug for 57 of them, across 4 drugs with 11 or more claims each, at $7,422 in total drug cost. In 2022, CMS named 131 claims across 10 drugs.
Dr. Balfe's Part D claims by kind of drug, 2024
- Generic116 claims85%
- Brand-name20 claims15%
Dr. Balfe's most prescribed drugs by claims, 2023
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. Balfe's Part D claims, 2024
- Opioids12%16 of 136 claims
- Antibiotics9%12 of 136 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, 2022 to 2023
- 2022
- 2023
- Claims for drugs CMS names
- 2022: 1312023: 5756%
Drugs named by CMS: 4 in 2023, 10 in 2022.
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. David L. Balfe scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Balfe for performance year 2024, reported individually. Dr. Balfe accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Balfe's MIPS scores, performance year 2024
- 100of 100Final score
- 100of 100Promoting Interoperability
- 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
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Dr. David L. Balfe received $2,064 in industry payments from 2016 to 2021
CMS Open Payments shows 55 general payments to Dr. Balfe from 17 drug and device companies from 2016 to 2021. Food and beverage make up the largest share, 59% of the total. Edwards Lifesciences Corporation paid the most, $850.
General payments to Dr. Balfe by program year, 2016 to 2021
General payments to Dr. Balfe by kind, 2016 to 2021
- Food and beverage$1,21459%
- Consulting fees$85041%
Companies that paid Dr. Balfe the most, 2016 to 2021
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. David L. Balfe graduated from University of the Witwatersrand
Dr. Balfe graduated from University of the Witwatersrand in 1984.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. David L. Balfe accepts plans from 9 insurance carriers
Dr. Balfe is in network with 9 carriers, including Elevance, Blue Cross Blue Shield of Massachusetts and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Elevance
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Michigan
- HCSC
- Regence Health Plans
- United Healthcare
- Aetna
- CMS Medicare
- +1 more carriersWith a free account
Plan types Dr. Balfe accepts, by number of carriers
- Medicare8
- PPO5
- HMO3
Source: Dmand AI Insurance Network Data
Sources for Dr. David L. Balfe's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. David L. Balfe
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. David L. Balfe's NPI number?
Dr. David L. Balfe's NPI number is 1265410146. It was assigned on January 3, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. David L. Balfe?
Dr. David L. Balfe is a pulmonologist in Culver City, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. David L. Balfe practice?
Dr. Balfe practices at 3828 Delmas Ter, Culver City, CA 90232. Dr. Balfe's primary practice is Southern California Healthcare System, Inc in Culver City, California. Dmand AI also links Dr. Balfe to 1 hospital.
What is Dr. David L. Balfe's office phone number?
The practice phone on file for Dr. Balfe is (310) 836-7000.
What is Dr. David L. Balfe's medical license number?
Dr. Balfe holds California license A66798.
Which hospitals is Dr. David L. Balfe affiliated with?
Dr. Balfe is affiliated with Cedars-Sinai Medical Center. Dmand AI links Dr. Balfe to 1 more hospital.
What medical group is Dr. David L. Balfe part of?
Dr. Balfe is linked to Dr. Avi Ishaaya Wellness Centers.
Does Dr. David L. Balfe accept Medicare?
Yes. CMS data shows Dr. Balfe billed Medicare for 3,295 services in 2024, and Dr. Balfe accepts Medicare assignment.
What is Dr. David L. Balfe's MIPS score?
Dr. Balfe's MIPS final score for performance year 2024 is 100 out of 100, reported individually.
How many Medicare patients does Dr. David L. Balfe see?
CMS counts 498 Medicare patients who saw Dr. Balfe in 2024, with an average age of 74.
Show 6 more questionsShow fewer questions
What services does Dr. David L. Balfe bill to Medicare?
In 2024, Dr. Balfe's most billed Medicare services were nursing facility care (99308), hospital inpatient care (99232) and hospital inpatient care (99233).
Where did Dr. David L. Balfe go to medical school?
Dr. Balfe graduated from University of the Witwatersrand in 1984.
What drugs does Dr. David L. Balfe prescribe most?
In 2023 Medicare Part D data, Dr. Balfe's most prescribed drugs by claims were Levetiracetam, Donepezil HCl and Midodrine HCl.
Has Dr. David L. Balfe received payments from drug or device companies?
CMS Open Payments shows $2,064 in general payments to Dr. Balfe from 17 companies from 2016 to 2021. The largest total came from Edwards Lifesciences Corporation.
How long has Dr. David L. Balfe been practicing?
Dr. Balfe graduated from medical school in 1984, 42 years ago.
What insurance does Dr. David L. Balfe accept?
Dr. Balfe is in network with 9 carriers, including Elevance, Blue Cross Blue Shield of Massachusetts and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
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