Dr. Rick Balestra, MD

  • Portland, OR
  • Pulmonologist
NPI1184824351PAC ID7214123785
Medicare services, 2024
366
Medicare patients, 2024
197
Part D claims, 2024
547
Publications
4
MIPS score, 2024
96
Practice address
4805 NE Glisan Street, Portland, OR 97213
Practice phone
Call (503) 215-1111
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Providence Portland Medical Center

Hospital · Portland, Oregon

See all 13 affiliations

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Dr. Rick Balestra is a pulmonologist in Portland, Oregon

Dr. Balestra practices at Providence Portland Medical Center in Portland, Oregon, part of Providence Health & Services.

Dr. Balestra's NPI, 1184824351, was assigned on July 24, 2007. Dr. Balestra graduated from University of Buenos Aires in 2004. Dr. Balestra's Oregon license number on file is MD169371.

NPI and contact details
Medicare PAC ID
7214123785
NPI enumeration date
July 24, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(503) 215-1111
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
49
Medical school graduation
2004

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

Dr. Rick Balestra practices at Providence Portland Medical Center in Portland, Oregon

Dr. Balestra's primary practice is Providence Portland Medical Center, at 4805 NE Glisan Street, Portland, OR 97213 in Multnomah County. The practice phone is (503) 215-1111.

Source: Dmand AI Affiliation Data

Dr. Rick Balestra is affiliated with 8 sites of care and 5 medical groups

Dr. Balestra's primary practice is Providence Portland Medical Center in Portland, Oregon, part of Providence Health & Services. Dr. Balestra is also affiliated with Providence Willamette Falls Medical Center. The medical group on file is The Oregon Clinic. Dmand AI also links Dr. Balestra to 3 more hospitals, 4 medical groups and 3 group practices and clinics, each named with a free account.

See all 13 affiliations for Dr. Balestra

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

Dmand AI tracks the EHR system at Dr. Rick Balestra's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balestra practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Providence Portland Medical CenterAvailable with a free account
+7 more sites and 4 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Rick Balestra is one of 162 pulmonologists in Oregon

Pulmonary disease is Dr. Balestra's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Balestra is board certified in critical care medicine by the American Board of Internal Medicine. Dmand AI has Dr. Balestra's licenses on file in 4 states: Oregon, California, Ohio and Pennsylvania.

Specialties and state licenses

  • Pulmonary disease, OregonPrimaryLicense MD169371 · 2014 to 2025 · taxonomy 207RP1001X
  • California licenseSince 2011
  • Ohio license2014 to 2019
  • Pennsylvania license2007 to 2012

Clinical focus

Dmand AI lists asthma, chronic obstructive pulmonary disease (COPD), lung resection, pneumonia, sleep apnea and tobacco use among the conditions Dr. Balestra treats.

Pulmonologists near Dr. Balestra

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. Rick Balestra billed Medicare for 366 services in 2024

CMS data shows 366 Medicare services from Dr. Balestra across 15 procedure codes in 2024, for 197 Medicare patients. Medicare paid $32,500 for them.

Medicare services, 2024366
Medicare patients197
Paid by Medicare$32,500
Procedure codes15

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

  • 2023
  • 2024
Office and hospital visits
2023: 2582024: 2397%
Surgery
2023: 652024: 662%
Tests and treatments
2023: 232024: 4178%
Imaging
2023: 02024: 20

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

  • In an office12233%
  • In a facility24467%

Dr. Balestra compared with the Oregon median for pulmonologists, 2024

  • Dr. Balestra
  • Oregon median
Medicare services
366vs 28528% above
Medicare patients
197vs 16817% above
Part D claims
443vs 61428% below

Medians across 159 pulmonologists in Oregon with Dmand AI profiles that report each measure.

Dr. Balestra'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. Balestra

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balestra and other pulmonologists in Oregon.

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

Dr. Rick Balestra treated 197 Medicare patients in 2024, average age 72

CMS counts 197 Medicare patients who saw Dr. Balestra in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high blood pressure, and 62% have high cholesterol. 27% are also on Medicaid. Their average risk score is 1.79, 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. Balestra's median patient age at 70, with 49% women.

Medicare patients, 2024197
Average age72
Average risk score1.79
Also on Medicaid27%

Dr. Balestra's Medicare patients by age, 2024

Dr. Balestra's Medicare patients by sex, 2024

  • Women10151%
  • Men9649%

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

  1. High blood pressure75%
  2. High cholesterol62%
  3. COPD43%
  4. Arthritis41%
  5. Mood disorders40%
  6. Depression36%
  7. Anxiety34%
  8. Heart failure34%

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

Dr. Balestra's patients across all payers

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

Patient panel by age, all payers

Median age 70

Patient panel by sex, all payers

  • Women49%
  • Men51%

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

Dr. Rick Balestra wrote 547 Medicare Part D claims in 2024

In 2024, Dr. Balestra wrote 547 Medicare Part D claims for 136 patients. CMS names the drug for 443 of them, across 14 drugs with 11 or more claims each, at $238,330 in total drug cost. In 2023, CMS named 255 claims across 11 drugs.

Part D claims, 2024547
Drugs named by CMS14
Total drug cost$238,330
Part D patients136

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

  • Antibiotics8%43 of 547 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: 2552024: 44374%

Drugs named by CMS: 14 in 2024, 11 in 2023.

See all prescribing by Dr. Balestra

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. Rick Balestra scored 96 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 96 out of 100 for Dr. Balestra for performance year 2024, reported as part of a group. Dr. Balestra accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Balestra as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Balestra's MIPS scores, performance year 2024

  • 96of 100Final score
  • 96.2of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 84of 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. Rick Balestra has 4 publications on record

Dmand AI links 4 papers to Dr. Balestra, published from 2017 to 2018. The most frequent topics are Bronchoscopy, Lung and Tomography, X-Ray Computed. Dr. Balestra's most frequent co-authors are Akilan Selvaraju, DO, Robert P. Baughman, MD and Joseph C. Cooley, DO.

Papers4
Years published2017 to 2018

Topics Dr. Balestra writes about most

  • Bronchoscopy
  • Lung
  • Tomography, X-Ray Computed

Dr. Balestra's most frequent co-authors

Recent publications by Dr. Balestra

See all 4 publications and co-authors

See who Dr. Balestra researches with

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

How network discovery works

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

Dr. Rick Balestra received $10,128 in industry payments from 2016 to 2024

CMS Open Payments shows 18 general payments to Dr. Balestra from 8 drug and device companies from 2016 to 2024. Education make up the largest share, 59% of the total. Intuitive Surgical, Inc. paid the most, $7,280.

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

General payments to Dr. Balestra by kind, 2016 to 2024

$10.1Kin total
  • Education$6,00059%
  • Travel and lodging$3,68636%
  • Food and beverage$4414%

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

Share is of all general payments to this clinician.

See all payments to Dr. Balestra

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

Dr. Rick Balestra graduated from University of Buenos Aires

Dr. Balestra graduated from University of Buenos Aires in 2004. Dr. Balestra is a member of ACP.

  1. Medical schoolUniversity of Buenos Aires
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Rick Balestra accepts plans from 16 insurance carriers

Dr. Balestra is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

Plan types Dr. Balestra accepts, by number of carriers

  1. PPO10
  2. HMO9
  3. Medicare8
  4. EPO4
  5. POS4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Rick Balestra'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)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)
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. Rick Balestra

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. Rick Balestra's NPI number?

Dr. Rick Balestra's NPI number is 1184824351. It was assigned on July 24, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Rick Balestra?

Dr. Rick Balestra is a pulmonologist in Portland, Oregon. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Dr. Rick Balestra practice?

Dr. Balestra practices at 4805 NE Glisan Street, Portland, OR 97213. Dr. Balestra's primary practice is Providence Portland Medical Center in Portland, Oregon, part of Providence Health & Services. Dmand AI also links Dr. Balestra to 3 hospitals, 4 medical groups and 3 group practices and clinics.

What is Dr. Rick Balestra's office phone number?

The practice phone on file for Dr. Balestra is (503) 215-1111.

What is Dr. Rick Balestra's medical license number?

Dr. Balestra's Oregon license number on file is MD169371, one of the licenses on file in 4 states.

Which states has Dr. Rick Balestra been licensed in?

Dmand AI has state licenses on file for Dr. Balestra in Oregon (2014 to 2025), California (since 2011), Ohio (2014 to 2019) and Pennsylvania (2007 to 2012).

Which hospitals is Dr. Rick Balestra affiliated with?

Dr. Balestra practices at Providence Portland Medical Center in Portland, Oregon. Dr. Balestra is also affiliated with Providence Willamette Falls Medical Center. Dmand AI links Dr. Balestra to 3 more hospitals.

What medical group is Dr. Rick Balestra part of?

Dr. Balestra is linked to The Oregon Clinic. Dmand AI links Dr. Balestra to 4 more medical groups.

Does Dr. Rick Balestra accept Medicare?

Yes. CMS data shows Dr. Balestra billed Medicare for 366 services in 2024, and Dr. Balestra accepts Medicare assignment.

Does Dr. Rick Balestra offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Balestra as offering telehealth services.

Show 11 more questionsShow fewer questions

What is Dr. Rick Balestra's MIPS score?

Dr. Balestra's MIPS final score for performance year 2024 is 96 out of 100, reported as part of a group.

How many Medicare patients does Dr. Rick Balestra see?

CMS counts 197 Medicare patients who saw Dr. Balestra in 2024, with an average age of 72.

Is Dr. Rick Balestra board certified?

Yes. Dr. Balestra is board certified in critical care medicine by the American Board of Internal Medicine.

What services does Dr. Rick Balestra bill to Medicare?

In 2024, Dr. Balestra's most billed Medicare services were office visit, established patient (99214), critical care (99291) and hospital inpatient care (99232).

Where did Dr. Rick Balestra go to medical school?

Dr. Balestra graduated from University of Buenos Aires in 2004.

What drugs does Dr. Rick Balestra prescribe most?

In 2024 Medicare Part D data, Dr. Balestra's most prescribed drugs by claims were Trelegy Ellipta, Albuterol Sulfate Hfa and Fluticasone-Salmeterol.

Has Dr. Rick Balestra received payments from drug or device companies?

CMS Open Payments shows $10,128 in general payments to Dr. Balestra from 8 companies from 2016 to 2024. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Rick Balestra been practicing?

Dr. Balestra graduated from medical school in 2004, 22 years ago.

Does Dr. Rick Balestra do research?

Dmand AI links 4 publications to Dr. Balestra, published from 2017 to 2018.

Who does Dr. Rick Balestra publish with?

Dr. Balestra's most frequent co-authors are Akilan Selvaraju, DO (2 shared papers), Robert P. Baughman, MD (1 shared paper) and Joseph C. Cooley, DO (1 shared paper).

What insurance does Dr. Rick Balestra accept?

Dr. Balestra is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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