2026 NPPES data Plastic Surgery Physician NPI 1417046202 M.D.
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ABELARDO BALAGTAS, M.D.

Plastic Surgery Physician in SCHENECTADY, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.

What the federal data shows

ABELARDO BALAGTAS, M.D. is a Plastic Surgery Physician in SCHENECTADY, New York, listed in the federal CMS National Provider Identifier registry.

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Board-eligible specialty (heuristic — not verified)

ABELARDO BALAGTAS, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ABELARDO BALAGTAS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/12/2006

NPI 1417046202

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Specialty distribution in New York

How Plastic Surgery Physician compares to other specialties among New York providers

New York providers

Plastic Surgery Physician share within New York

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ABELARDO BALAGTAS, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 650 FRANKLIN ST STE 103, SCHENECTADY, NY, 12305, with a listed phone of (518) 393-1367. NPI 1417046202 was issued on 10/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALAGTAS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Plastic Surgery Physician providers operate outside Part D entirely.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

650 FRANKLIN ST STE 103
SCHENECTADY, NY 12305

Provider Details

NPI 1417046202
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 10/12/2006

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ABELARDO BALAGTAS, M.D.. To verify ABELARDO BALAGTAS, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Plastic Surgery Physician Overview

How ABELARDO BALAGTAS, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

Nearby Plastic Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as BALAGTAS.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABELARDO BALAGTAS, M.D.'s specialty?
ABELARDO BALAGTAS, M.D. specializes in Plastic Surgery Physician and practices in SCHENECTADY, New York. Credentials: M.D..
Where is ABELARDO BALAGTAS, M.D. located?
ABELARDO BALAGTAS, M.D. is located at 650 FRANKLIN ST STE 103, SCHENECTADY, NY, 12305. Phone: (518) 393-1367.
What is ABELARDO BALAGTAS, M.D.'s NPI number?
ABELARDO BALAGTAS, M.D.'s National Provider Identifier (NPI) is 1417046202, issued on 10/12/2006.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does ABELARDO BALAGTAS, M.D. accept Medicare?
ABELARDO BALAGTAS, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABELARDO BALAGTAS, M.D.'s credentials?
ABELARDO BALAGTAS, M.D.'s NPI is 1417046202 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology