Medicare Enrolled
Dr. Pelbreton Balfour, MD
Cardiovascular Disease · Pensacola, FL
Practice pattern: Cardiac & Cardiac
— Practice combining cardiac and cardiac services
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Balfour from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Balfour
Dr. Pelbreton Balfour is a cardiovascular disease specialist in Pensacola, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Balfour performed 2,832 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Balfour received a total of $4,465 from 33 pharmaceutical and/or device companies across 177 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Balfour is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 47% volume in FL
$4,465 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 131374 | Clear | January 31, 2027 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗2,832
Medicare services
Top 47% in FL for cardiovascular disease
Not available
Unique patients (not deduplicated)
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
745 | $6 | $30 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
630 | $51 | $130 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
403 | $72 | $106 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
132 | $2 | $10 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
130 | $19 | $56 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while an electrocardiogram is monitored under physician supervision. |
115 | $16 | $50 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
108 | $6 | $20 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
108 | $63 | $150 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
83 | $47 | $70 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
81 | $99 | $165 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
71 | $104 | $280 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
52 | $110 | $145 |
| MRI of heart with and without contrast A magnetic resonance imaging scan of the heart performed both before and after the administration of a contrast dye to enhance image detail. |
37 | $97 | $255 |
| Stress echocardiogram with ECG monitoring An ultrasound of the heart performed while monitoring heart rhythm during rest, exercise, or medication-induced stress, followed by a review and report of the findings. |
28 | $63 | $175 |
| Heart muscle strain imaging | 28 | $9 | $70 |
| Echocardiogram, transthoracic An ultrasound test that uses sound waves to create images of the heart's blood flow, valves, and chambers. |
25 | $13 | $40 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
19 | $139 | $420 |
| CT scan of heart blood vessels and grafts with contrast A CT scan that uses contrast dye to create detailed images of the heart's blood vessels and any surgical grafts. |
14 | $91 | $245 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
12 | $9 | $35 |
| New patient office visit, complex (60-74 min) | 11 | $146 | $220 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
26.9% high complexity
17.5% medium
55.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,465
Total received (2018-2024)
Avg $638/year across 7 years
Top 42% in FL for cardiovascular disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
33
Companies
177
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$473
2023
$752
2022
$560
2021
$679
2020
$272
2019
$901
2018
$828
Payments by company (2024)
E.R. Squibb & Sons, L.L.C.
$89
PFIZER INC.
$89
Cleerly, Inc.
$66
Boston Scientific Corporation
$46
Baxter Healthcare
$40
Amgen Inc.
$29
Abbott Laboratories
$25
Alnylam Pharmaceuticals Inc.
$23
Kiniksa Pharmaceuticals International, plc
$22
Philips North America LLC
$15
LANTHEUS MEDICAL IMAGING, INC.
$15
AstraZeneca Pharmaceuticals LP
$15
Top 3 companies account for 51.6% of 2024 payments
All-time payments by company (2018-2024) ›
E.R. Squibb & Sons, L.L.C.
$432
ABIOMED
$398
Merck Sharp & Dohme Corporation
$330
Janssen Pharmaceuticals, Inc
$316
Amgen Inc.
$294
Boston Scientific Corporation
$283
AstraZeneca Pharmaceuticals LP
$263
PFIZER INC.
$251
Boehringer Ingelheim Pharmaceuticals, Inc.
$227
PORTOLA PHARMACEUTICALS, INC.
$225
Abbott Laboratories
$197
Novartis Pharmaceuticals Corporation
$187
Akcea Therapeutics, Inc.
$177
ZOLL Respicardia, Inc.
$131
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$107
SANOFI-AVENTIS U.S. LLC
$88
Amarin Pharma Inc.
$75
Cleerly, Inc.
$66
Regeneron Healthcare Solutions, Inc.
$54
Alnylam Pharmaceuticals Inc.
$44
Baxter Healthcare
$40
Merck Sharp & Dohme LLC
$34
BOSTON SCIENTIFIC CORPORATION
$34
Actelion Pharmaceuticals US, Inc.
$32
Philips Electronics North America Corporation
$30
ARBOR PHARMACEUTICALS, INC.
$26
iRhythm Technologies, Inc.
$26
Esperion Therapeutics, Inc.
$23
Kiniksa Pharmaceuticals International, plc
$22
Philips North America LLC
$15
LANTHEUS MEDICAL IMAGING, INC.
$15
Lundbeck LLC
$11
Gilead Sciences, Inc.
$11
Top 3 companies account for 26.0% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (5091) Amb Mon & Diag Und · (CK4) MCOT · AMVUTTRA · Arcalyst · BEVYXXA · BRILINTA · Bidil · CAMZYOS · CARDIOMEMS · CHANTIX · CardioMEMS HF System · Cleerly Labs · Corlanor · DEFINITY · ELIQUIS · ENTRESTO · FARXIGA · GENERAL THERAPIES · Hillrom - Carnation Ambulatory Monitor · Impella · JARDIANCE · LEQVIO · LifeVest · MULTAQ · NEXLETOL · NORTHERA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · Repatha · TEGSEDI · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · UPTRAVI · VERQUVO · VYNDAQEL · Vascepa · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch · remede System
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Cardiologists in nearby ZIP areas
37
County median income
$65,715
Nearest hospital to ZIP centroid (approximate)
BAPTIST HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Balfour is a cardiac & cardiac specialist, with moderate Medicare volume, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Balfour experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Balfour performed 745 ekg interpretation and report services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Balfour receive payments from pharmaceutical companies?
Yes. Dr. Balfour received a total of $4,465 from 33 companies across 177 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Balfour's costs compare to other cardiologists in Pensacola?
Dr. Balfour's average Medicare payment per service is $40. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Balfour) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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