# Gautam Balakrishnan

Source: https://ourhealthnetwork.com/doctor/gautam-balakrishnan-1609214519
NPI: 1609214519
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Gautam Balakrishnan is a pulmonary disease based in Saint Joseph, MO practicing at Heartland Regional Medical Center with NPI 1609214519 and offers telehealth visits.

## Profile

- Primary specialty: Pulmonary Disease
- Secondary specialties: INTERNAL MEDICINE
- Gender: Male
- Graduation year: 2010
- Telehealth: Yes
- NPI: 1609214519 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1609214519))

## Practice and contact

- Practice name: Heartland Regional Medical Center
- Address: 5301 Faraon St, Suite 210b, Saint Joseph, MO, 645063800
- Phone: (816) 390-8300
- Group practice size: 386 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 76.92/100
- Quality category score: 66.53/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 56.5392/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (9 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [BCBS North Dakota](https://ourhealthnetwork.com/insurance/bcbs-north-dakota) — 19 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 11 plans
- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 10 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 6 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 6 plans
- [BCBS Kansas City](https://ourhealthnetwork.com/insurance/bcbs-kansas-city) — 3 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 1 plan
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 1 plan

To verify a specific plan covers Gautam Balakrishnan, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1609214519).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 14 disclosed payments from medical industry sources totaling approximately $2,738.

Largest disclosed payer: Noah Medical Corporation ($1,510 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Pulmonary Disease doctors in SAINT JOSEPH, MO](https://ourhealthnetwork.com/pulmonary-disease/mo/saint-joseph)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1609214519)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)