Karai P Balaji, M.D.
Karai P Balaji is an Internal Medicine specialist based in Avon, NY with over 41 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Patients across NY can see Karai P Balaji, M.D. in person in Avon or via virtual visit — no travel required. He has been in practice for 41+ years. He regularly sees Medicare patients with hypertension, high cholesterol, and arthritis (per CMS claims data). CMS MIPS quality score: 85.17/100 (2023).
At a glance
- Prescribes opioids less than 24% of reporting doctors in New York
- Uses generic medications more than 66% of reporting doctors in New York
- Federal MIPS score higher than 37% of MIPS-scored doctors in New York
- Virtual visits available — no app or travel required
Older · 1053dNPPES updated 2023-07-05 · verify NPI on CMS · Verify license at New York State Board for Medicine
Contact & Location
Practice Location
470 Collins St, Avon, NY 14414-1466
How Does This Doctor Compare?
Based on Medicare data, this doctor prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.
MIPS Score
202385.17/100
New York avg: 87 · US avg: 83.6
✓ Higher than most doctors nationally(+1.6 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better2.19%
New York avg: 3.5 · US avg: 5.1
✓ Higher than most doctors nationally(-2.9 pts)
2.19% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Generic Rx
↑ Higher = better89.5%
New York avg: 82 · US avg: 82.8
✓ Higher than most doctors nationally(+6.7 pts)
Typical range among reporting doctors in New YorkHow often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
158
Unique beneficiaries
Standard volumePrescription Recipients
629
Patients prescribed
Prescriptions Written
10,340
Total claims
Total Medicare drug cost: $1.11M
Percentile rankings compared against 8,064 reporting peers in New York.
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%↓ Fewer patients than average (-3%) — less common here
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↓ Fewer patients than average (-3%) — less common here
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↓ Fewer patients than average (-18%) — less common here
Excessive worry or fear that interferes with daily life
US avg: 34.1%↓ Fewer patients than average (-7%) — less common here
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↓ Fewer patients than average (-9%) — less common here
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↓ Fewer patients than average (-12%) — less common here
An irregular, often rapid heartbeat that increases the risk of stroke
US avg: 22%↓ Fewer patients than average (-2%) — less common here
A mood disorder causing persistent sadness and loss of interest in activities
US avg: 31.8%↓ Fewer patients than average (-12%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
41 years in practice
Senior practitioner
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Taxonomy: 207R00000X
Mailing address
601 Elmwood Ave Box 278980, Rochester, NY 14642-0001
Differs from practice location
Virtual Internal Medicine Care With Karai P Balaji
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Karai P Balaji for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Avon 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 Karai P Balaji
Dr. Balaji is listed as active in the NPI registry with telehealth listed in Avon, NY. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (585) 226-2640.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Physician Comparator. See Data Methodology.
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Contact Karai P Balaji
Practice Location
470 Collins St, Avon, NY 14414-1466
Mailing Address
601 Elmwood Ave Box 278980, Rochester, NY 14642-0001
This is a provider directory. Contact the office directly to schedule appointments.
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