Jay Shankar Balachandran, MD
Pulmonary Disease Internal Medicine
Jay Shankar Balachandran is a Pulmonary Disease Internal Medicine specialist based in Mequon, WI with over 23 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Also practices: CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
Patients across WI can see Jay Shankar Balachandran, MD in person in Mequon or via virtual visit — no travel required. Trained at University of Wisconsin School of Medicine (class of 2003), he has been practicing for over 23 years. Among his Medicare patients, common conditions include hypertension, high cholesterol, and arthritis (per CMS data). CMS MIPS quality score: 81.48/100 (2023).
At a glance
- Federal MIPS score higher than 64% of MIPS-scored doctors in Wisconsin
- Virtual visits available — no app or travel required
Older · 3485dNPPES updated 2016-11-07 · verify NPI on CMS · Verify license at Wisconsin Medical Examining Board
Contact & Location
Practice Location
13133 N Port Washington Rd Suite 104, Mequon, WI 53097-2419
How Does This Doctor Compare?
Based on Medicare data, this doctor has an average quality score compared to other doctors in Wisconsin.
MIPS Score
202381.48/100
Wisconsin avg: 82.1 · US avg: 83.6
⚠ Lower than most doctors nationally(-2.1 pts)
Average range among MIPS-scored doctors in WisconsinHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Generic Rx
↑ Higher = better39.8%
Wisconsin avg: 82.2 · US avg: 82.8
⚠ Lower than most doctors nationally(-43 pts)
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
339
Unique beneficiaries
Standard volumePrescription Recipients
298
Patients prescribed
Prescriptions Written
1,376
Total claims
Total Medicare drug cost: $1.90M
Percentile rankings compared against 779 reporting peers in Wisconsin.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+1%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+10%) — a focus area for this doctor
Chronic Obstructive Pulmonary Disease — a group of lung diseases that block airflow
US avg: 20.4%↑ More patients than average (+18%) — a focus area for this doctor
The heart cannot pump blood efficiently enough to meet the body's needs
US avg: 22.5%↑ More patients than average (+9%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↓ Fewer patients than average (-5%) — less common here
An irregular, often rapid heartbeat that increases the risk of stroke
US avg: 22%↑ More patients than average (+7%) — a focus area for this doctor
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$611 received from industry
25 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Jay Shankar Balachandran's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2003
University of Wisconsin School of Medicine and Public Health
23 years in practice
Experienced
Pulmonologists specialize in respiratory conditions including asthma, COPD, pneumonia, pulmonary fibrosis, sleep apnea, and lung cancer screening. They manage patients on ventilators and perform bronchoscopies.
Taxonomy: 207RP1001X
Education & Training
University of Wisconsin School of Medicine (Class of 2003)
Mailing address
788 N Jefferson St Suite 300/Attn. Kaaren Butzen, Milwaukee, WI 53202-3718
Differs from practice location
Virtual Pulmonary Disease Care With Jay Shankar Balachandran
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Jay Shankar Balachandran for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Mequon required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Jay Shankar Balachandran
Dr. Balachandran is listed as active in the NPI registry with telehealth listed in Mequon, WI. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (262) 243-5044.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Jay Shankar Balachandran
Practice Location
13133 N Port Washington Rd Suite 104, Mequon, WI 53097-2419
Mailing Address
788 N Jefferson St Suite 300/Attn. Kaaren Butzen, Milwaukee, WI 53202-3718
This is a provider directory. Contact the office directly to schedule appointments.
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