Dr. Prashant Baliga, MD

  • Thomasville, GA
  • Internist
NPI1013114305PAC ID9335336072
Medicare services, 2024
981
Medicare patients, 2024
290
Part D claims, 2024
233
Hospital affiliations
2
Industry payments
$1,202
Practice address
915 Gordon Avenue & Mimosa Drive, Thomasville, GA 31792
Practice phone
Call (229) 228-2880
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Archbold Memorial

Hospital · Thomasville, Georgia

See all 6 affiliations

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Dr. Prashant Baliga is an internist in Thomasville, Georgia

Dr. Baliga practices at Archbold Memorial in Thomasville, Georgia, part of Archbold.

Dr. Baliga's NPI, 1013114305, was assigned on June 29, 2007. Dr. Baliga graduated from Bangalore Medical College in 2005. Dr. Baliga holds Florida license ME122015.

NPI and contact details
Medicare PAC ID
9335336072
NPI enumeration date
June 29, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(229) 228-2880
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
48
Medical school graduation
2005

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

Dr. Prashant Baliga practices at Archbold Memorial in Thomasville, Georgia

Dr. Baliga's primary practice is Archbold Memorial, at 915 Gordon Avenue & Mimosa Drive, Thomasville, GA 31792 in Thomas County. The practice phone is (229) 228-2880.

  • Archbold Memorial
    915 Gordon Avenue & Mimosa Drive, Thomasville, GA 31792 · Thomas CountyPhone(229) 228-2880

Source: Dmand AI Affiliation Data

Dr. Prashant Baliga is affiliated with 2 sites of care and 4 medical groups

Dr. Baliga's primary practice is Archbold Memorial in Thomasville, Georgia, part of Archbold. Dr. Baliga is also affiliated with Memorial Hospital and Manor. The medical group on file is Southland Medical Group. Dmand AI also links Dr. Baliga to 3 more medical groups, each named with a free account.

See all 6 affiliations for Dr. Baliga

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Prashant Baliga's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Baliga practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Archbold MemorialAvailable with a free account
+1 more site and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Prashant Baliga is one of 3,575 internists in Georgia

Internal medicine is Dr. Baliga's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Baliga's licenses on file in 2 states: Florida and Georgia.

Specialties and state licenses

  • Internal medicine, FloridaPrimaryLicense ME122015 · taxonomy 207R00000X
  • Georgia licenseLicense 64756

Clinical focus

Dmand AI lists acute respiratory failure, atrial fibrillation and flutter, cardiac arrhythmia, chronic diabetes, chronic hypertension, chronic inflammatory bowel disease (IBD), chronic kidney disease and chronic respiratory failure among the conditions Dr. Baliga treats.

Internists near Dr. Baliga

Counts of internists 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. Prashant Baliga billed Medicare for 981 services in 2024

CMS data shows 981 Medicare services from Dr. Baliga across 7 procedure codes in 2024, for 290 Medicare patients. Medicare paid $81,140 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024981
Medicare patients290
Paid by Medicare$81,140
Procedure codes7

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

  • 2023
  • 2024
Office and hospital visits
2023: 1,1112024: 96713%
Other services
2023: 02024: 14

Dr. Baliga compared with the Georgia median for internists, 2024

  • Dr. Baliga
  • Georgia median
Medicare services
981vs 53683% above
Medicare patients
290vs 19449% above
Part D claims
60vs 33982% below

Medians across 3,344 internists in Georgia with Dmand AI profiles that report each measure.

Dr. Baliga'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. Baliga

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

Dr. Prashant Baliga treated 290 Medicare patients in 2024, average age 76

CMS counts 290 Medicare patients who saw Dr. Baliga in 2024. The largest group is 75 to 84, with 107 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 30% are also on Medicaid. Their average risk score is 2.89, 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. Baliga's median patient age at 73, with 54% women.

Medicare patients, 2024290
Average age76
Average risk score2.89
Also on Medicaid30%

Dr. Baliga's Medicare patients by age, 2024

Dr. Baliga's Medicare patients by sex, 2024

  • Women14450%
  • Men14650%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Heart failure62%
  4. Chronic kidney disease56%
  5. Ischemic heart disease53%
  6. Arthritis52%
  7. Diabetes51%
  8. Atrial fibrillation44%

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

Dr. Baliga's patients across all payers

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

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women54%
  • Men45%

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

Dr. Prashant Baliga wrote 233 Medicare Part D claims in 2024

In 2024, Dr. Baliga wrote 233 Medicare Part D claims for 87 patients. 83% of them were for generic drugs. CMS names the drug for 60 of them, across 5 drugs with 11 or more claims each, at $3,259 in total drug cost. In 2023, CMS named 70 claims across 5 drugs.

Part D claims, 2024233
Drugs named by CMS5
Total drug cost$3,259
Part D patients87

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

  • Generic194 claims83%
  • Brand-name39 claims17%

Dr. Baliga'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. Baliga's Part D claims, 2024

  • Antibiotics26%61 of 233 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: 702024: 6014%

Drugs named by CMS: 5 in 2024, 5 in 2023.

See all prescribing by Dr. Baliga

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

How Dr. Prashant Baliga takes part in Medicare

Dr. Baliga accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Prashant Baliga received $1,202 in industry payments from 2016 to 2025

CMS Open Payments shows 32 general payments to Dr. Baliga from 17 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $229.

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

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

Share is of all general payments to this clinician.

See all payments to Dr. Baliga

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

Dr. Prashant Baliga graduated from Bangalore Medical College

Dr. Baliga graduated from Bangalore Medical College in 2005.

  1. Medical schoolBangalore Medical College

Source: Dmand AI Professional Profile Data

Dr. Prashant Baliga accepts plans from 7 insurance carriers

Dr. Baliga is in network with 7 carriers, including Excellus BlueCross BlueShield, United Healthcare and Aetna. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.

  • Excellus BlueCross BlueShield
  • United Healthcare
  • Aetna
  • CMS Medicare
  • DE State Medicaid
  • Elevance
  • GA State Medicaid

Plan types Dr. Baliga accepts, by number of carriers

  1. HMO3
  2. Medicaid3
  3. Medicare3
  4. POS2
  5. PPO2
  6. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Prashant Baliga'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 phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy 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)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
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. Prashant Baliga

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. Prashant Baliga's NPI number?

Dr. Prashant Baliga's NPI number is 1013114305. It was assigned on June 29, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Prashant Baliga?

Dr. Prashant Baliga is an internist in Thomasville, Georgia. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Prashant Baliga practice?

Dr. Baliga practices at 915 Gordon Avenue & Mimosa Drive, Thomasville, GA 31792. Dr. Baliga's primary practice is Archbold Memorial in Thomasville, Georgia, part of Archbold. Dmand AI also links Dr. Baliga to 3 medical groups.

What is Dr. Prashant Baliga's office phone number?

The practice phone on file for Dr. Baliga is (229) 228-2880.

What is Dr. Prashant Baliga's medical license number?

Dr. Baliga holds Florida license ME122015, one of the licenses on file in 2 states.

Which states has Dr. Prashant Baliga been licensed in?

Dmand AI has state licenses on file for Dr. Baliga in Florida and Georgia.

Which hospitals is Dr. Prashant Baliga affiliated with?

Dr. Baliga practices at Archbold Memorial in Thomasville, Georgia. Dr. Baliga is also affiliated with Memorial Hospital and Manor.

What medical group is Dr. Prashant Baliga part of?

Dr. Baliga is linked to Southland Medical Group. Dmand AI links Dr. Baliga to 3 more medical groups.

Does Dr. Prashant Baliga accept Medicare?

Yes. CMS data shows Dr. Baliga billed Medicare for 981 services in 2024, and Dr. Baliga accepts Medicare assignment.

How many Medicare patients does Dr. Prashant Baliga see?

CMS counts 290 Medicare patients who saw Dr. Baliga in 2024, with an average age of 76.

Show 6 more questionsShow fewer questions

What services does Dr. Prashant Baliga bill to Medicare?

In 2024, Dr. Baliga's most billed Medicare services were hospital inpatient care (99233), hospital inpatient care (99232) and hospital inpatient care (99239).

Where did Dr. Prashant Baliga go to medical school?

Dr. Baliga graduated from Bangalore Medical College in 2005.

What drugs does Dr. Prashant Baliga prescribe most?

In 2024 Medicare Part D data, Dr. Baliga's most prescribed drugs by claims were Prednisone, Cefuroxime and Hydralazine HCl.

Has Dr. Prashant Baliga received payments from drug or device companies?

CMS Open Payments shows $1,202 in general payments to Dr. Baliga from 17 companies from 2016 to 2025. The largest total came from Pfizer Inc.

How long has Dr. Prashant Baliga been practicing?

Dr. Baliga graduated from medical school in 2005, 21 years ago.

What insurance does Dr. Prashant Baliga accept?

Dr. Baliga is in network with 7 carriers, including Excellus BlueCross BlueShield, United Healthcare and Aetna. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.

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