Dr. Robert Jay Balkan, MD

  • Metairie, LA
  • Ophthalmologist
NPI1790725737PAC ID4385825439
Medicare services, 2024
117
Medicare patients, 2024
92
Part D claims, 2024
141
Publications
1
MIPS score, 2024
91
Practice address
3901 Houma Blvd, Metairie, LA 70006
Practice phone
Call (504) 891-1988
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

New Orleans Eye Specialists

Metairie, Louisiana

See all 5 affiliations

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Dr. Robert Jay Balkan is an ophthalmologist in Metairie, Louisiana

Dr. Balkan practices at New Orleans Eye Specialists in Metairie, Louisiana.

Dr. Balkan's NPI, 1790725737, was assigned on June 7, 2006. Dr. Balkan graduated from Rush Medical College in 1979. Dr. Balkan holds Louisiana license 15443.

NPI and contact details
Medicare PAC ID
4385825439
NPI enumeration date
June 7, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(504) 891-1988
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
73
Medical school graduation
1979

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

Dr. Robert Jay Balkan practices at New Orleans Eye Specialists in Metairie, Louisiana

Dr. Balkan's primary practice is New Orleans Eye Specialists, at 3901 Houma Blvd, Metairie, LA 70006 in Jefferson Parish. The practice phone is (504) 891-1988.

  • New Orleans Eye Specialists
    3901 Houma Blvd, Metairie, LA 70006 · Jefferson ParishPhone(504) 891-1988

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

Dr. Robert Jay Balkan is affiliated with 3 sites of care and 2 medical groups

Dr. Balkan's primary practice is New Orleans Eye Specialists in Metairie, Louisiana. Dr. Balkan is also affiliated with Manning Family Children's. The medical group on file is Manning Family Children's. Dmand AI also links Dr. Balkan to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 5 affiliations for Dr. Balkan

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

Dmand AI tracks the EHR system at Dr. Robert Jay Balkan's practice

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

EHR by site
SiteEHR vendor and product
New Orleans Eye SpecialistsAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Robert Jay Balkan is one of 264 ophthalmologists in Louisiana

Ophthalmology is Dr. Balkan's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Balkan is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Balkan's licenses on file in 3 states: Louisiana, California and Alabama.

Specialties and state licenses

  • Ophthalmology, LouisianaPrimaryLicense 15443 · 1979 to 2026 · taxonomy 207W00000X
  • California licenseSince 1983
  • Alabama license1980

Clinical focus

Dmand AI lists conjunctivitis, dry eye, eyelid inflammation, glaucoma, hereditary corneal conditions, vision problems and vitreous eye degeneration among the conditions Dr. Balkan treats.

Ophthalmologists near Dr. Balkan

Counts of ophthalmologists 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. Robert Jay Balkan billed Medicare for 117 services in 2024

CMS data shows 117 Medicare services from Dr. Balkan across 3 procedure codes in 2024, for 92 Medicare patients. Medicare paid $8,323 for them. Every service was in an office.

Medicare services, 2024117
Medicare patients92
Paid by Medicare$8,323
Procedure codes3

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

  • 2023
  • 2024
Tests and treatments
2023: 1412024: 11717%

Dr. Balkan compared with the Louisiana median for ophthalmologists, 2024

  • Dr. Balkan
  • Louisiana median
Medicare services
117vs 1,12090% below
Medicare patients
92vs 44179% below
Part D claims
78vs 75690% below

Medians across 274 ophthalmologists in Louisiana with Dmand AI profiles that report each measure.

Dr. Balkan'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. Balkan

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balkan and other ophthalmologists in Louisiana.

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

Dr. Robert Jay Balkan treated 92 Medicare patients in 2024, average age 69

CMS counts 92 Medicare patients who saw Dr. Balkan in 2024. The largest group is 65 to 74, with 55 patients. 68% of them have high cholesterol, and 64% have high blood pressure. Their average risk score is 0.83, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Balkan's median patient age at 12, with 57% women.

Medicare patients, 202492
Average age69
Average risk score0.83

Dr. Balkan's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Balkan's Medicare patients by sex, 2024

  • Women5661%
  • Men3639%

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

  1. High cholesterol68%
  2. High blood pressure64%
  3. Arthritis36%
  4. Diabetes22%
  5. Anxiety21%
  6. Ischemic heart disease18%
  7. Mood disorders16%
  8. Cancer13%

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

Dr. Balkan's patients across all payers

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

Patient panel by age, all payers

Median age 12

Patient panel by sex, all payers

  • Women57%
  • Men43%

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

Dr. Robert Jay Balkan wrote 141 Medicare Part D claims in 2024

In 2024, Dr. Balkan wrote 141 Medicare Part D claims for 52 patients. 54% of them were for generic drugs. CMS names the drug for 78 of them, across 3 drugs with 11 or more claims each, at $2,475 in total drug cost. In 2023, CMS named 85 claims across 3 drugs.

Part D claims, 2024141
Drugs named by CMS3
Total drug cost$2,475
Part D patients52

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

  • Generic76 claims54%
  • Brand-name65 claims46%

Dr. Balkan'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.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 852024: 788%

Drugs named by CMS: 3 in 2024, 3 in 2023.

See all prescribing by Dr. Balkan

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. Robert Jay Balkan scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Balkan for performance year 2024, reported as part of a group. Dr. Balkan accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Balkan's MIPS scores, performance year 2024

  • 91of 100Final score
  • 94.2of 100Quality
  • 40of 100Improvement Activities
  • 77of 100Cost

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. Robert Jay Balkan has 1 publication on record

Dmand AI links 1 paper to Dr. Balkan. Dr. Balkan's most frequent co-author is Creig Simmons Hoyt, MD.

Papers1

Dr. Balkan's most frequent co-authors

Recent publications by Dr. Balkan

See all 1 publications and co-authors

See who Dr. Balkan researches with

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

How network discovery works

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

Dr. Robert Jay Balkan received $1,373 in industry payments from 2016 to 2024

CMS Open Payments shows 30 general payments to Dr. Balkan from 17 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 100% of the total. Shire North American Group Inc paid the most, $282.

General payments to Dr. Balkan by program year, 2016 to 2024

Companies that paid Dr. Balkan the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Balkan

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

Dr. Robert Jay Balkan has 1 award and honors on record

Dmand AI lists 1 award for Dr. Balkan.

Awards and honors for Dr. Balkan

  1. Undated
    • AAO Fellow

Source: Dmand AI Professional Profile Data

Dr. Robert Jay Balkan graduated from Rush Medical College

Dr. Balkan graduated from Rush Medical College in 1979. Dr. Balkan is a member of AAO.

  1. Medical schoolRush Medical College
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Robert Jay Balkan accepts plans from 23 insurance carriers

Dr. Balkan is in network with 23 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • Alliant Health Plans
  • +15 more carriersWith a free account

Plan types Dr. Balkan accepts, by number of carriers

  1. PPO13
  2. HMO12
  3. Medicare9
  4. POS7
  5. EPO5
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Robert Jay Balkan'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. Robert Jay Balkan

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. Robert Jay Balkan's NPI number?

Dr. Robert Jay Balkan's NPI number is 1790725737. It was assigned on June 7, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Robert Jay Balkan?

Dr. Robert Jay Balkan is an ophthalmologist in Metairie, Louisiana. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Robert Jay Balkan practice?

Dr. Balkan practices at 3901 Houma Blvd, Metairie, LA 70006. Dr. Balkan's primary practice is New Orleans Eye Specialists in Metairie, Louisiana. Dmand AI also links Dr. Balkan to 1 group practice or clinic and 1 medical group.

What is Dr. Robert Jay Balkan's office phone number?

The practice phone on file for Dr. Balkan is (504) 891-1988.

What is Dr. Robert Jay Balkan's medical license number?

Dr. Balkan holds Louisiana license 15443, one of the licenses on file in 3 states.

Which states has Dr. Robert Jay Balkan been licensed in?

Dmand AI has state licenses on file for Dr. Balkan in Louisiana (1979 to 2026), California (since 1983) and Alabama (1980).

Which hospitals is Dr. Robert Jay Balkan affiliated with?

Dr. Balkan is affiliated with Manning Family Children's.

What medical group is Dr. Robert Jay Balkan part of?

Dr. Balkan is linked to Manning Family Children's. Dmand AI links Dr. Balkan to 1 more medical group.

Does Dr. Robert Jay Balkan accept Medicare?

Yes. CMS data shows Dr. Balkan billed Medicare for 117 services in 2024, and Dr. Balkan accepts Medicare assignment.

What is Dr. Robert Jay Balkan's MIPS score?

Dr. Balkan's MIPS final score for performance year 2024 is 91 out of 100, reported as part of a group.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Robert Jay Balkan see?

CMS counts 92 Medicare patients who saw Dr. Balkan in 2024, with an average age of 69.

Is Dr. Robert Jay Balkan board certified?

Yes. Dr. Balkan is board certified in ophthalmology by the American Board of Ophthalmology.

What services does Dr. Robert Jay Balkan bill to Medicare?

In 2024, Dr. Balkan's most billed Medicare services were eye exam or test (92014), eye exam or test (92012) and eye exam or test (92134).

Where did Dr. Robert Jay Balkan go to medical school?

Dr. Balkan graduated from Rush Medical College in 1979.

What drugs does Dr. Robert Jay Balkan prescribe most?

In 2024 Medicare Part D data, Dr. Balkan's most prescribed drugs by claims were Latanoprost, Travoprost and Tobramycin-Dexamethasone.

Has Dr. Robert Jay Balkan received payments from drug or device companies?

CMS Open Payments shows $1,373 in general payments to Dr. Balkan from 17 companies from 2016 to 2024. The largest total came from Shire North American Group Inc.

How long has Dr. Robert Jay Balkan been practicing?

Dr. Balkan graduated from medical school in 1979, 47 years ago.

Does Dr. Robert Jay Balkan do research?

Dmand AI links 1 publication to Dr. Balkan.

Who does Dr. Robert Jay Balkan publish with?

Dr. Balkan's most frequent co-authors are Creig Simmons Hoyt, MD (1 shared paper).

What insurance does Dr. Robert Jay Balkan accept?

Dr. Balkan is in network with 23 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

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