2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1851631113 MD
Verify on CMS →

ALANNA BALBONI, MD

Adult Reconstructive Orthopaedic Surgery Physician in SAN DIEGO, California. 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.
Prescribing volume
43
Medicare Part D claims · 24 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
75.392/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALANNA BALBONI, MD reported a CMS MIPS final score of 75.392/100 — below the 83.1 national average — and filed 43 Medicare Part D claims in 2023.

75.392/100
MIPS score · -8 vs avg
43
Part D claims, 2023
Likely
board-certified (heuristic)

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.

ALANNA BALBONI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ALANNA BALBONI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ALANNA BALBONI, MD?

Below national average

NPI registry status

Active

Issued 02/25/2013

NPI 1851631113

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

43 91% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

75.392/100 7.707999999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among California providers

California providers

Adult Reconstructive Orthopaedic Surgery Physician share within California

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within California

Medicare quality performance — MIPS

ALANNA BALBONI, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
75.392/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 75.392/100 vs national avg 83.1

0%100%National avg83%75.4%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 75.392/100 vs national avg 83.1

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).

ALANNA BALBONI, MD is a Adult Reconstructive Orthopaedic Surgery Physician provider practicing in SAN DIEGO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1851631113. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALANNA BALBONI, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 34 800 BOB WILSON DRIVE, SAN DIEGO, CA, 92134, with a listed phone of (619) 532-6400. NPI 1851631113 was issued on 02/25/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALBONI 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 records for calendar year 2023 show 43 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $415 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.392/100 for the 2023 performance year (Quality 59.7838, Cost 62.3562), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

34 800 BOB WILSON DRIVE
SAN DIEGO, CA 92134

Provider Details

NPI 1851631113
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Female
NPI Issued 02/25/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.392
Final Score
Avg: 83.1
59.7838
Quality
62.3562
Cost
95
Promoting Interoperability

Reporting: Group practice

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ALANNA BALBONI, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ALANNA BALBONI, MD. To verify ALANNA BALBONI, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

43
Total Claims
$415
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
944
Brand Drug Cost
$0
Generic Drug Cost
$415
Antibiotic Claims
17

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.40

Adult Reconstructive Orthopaedic Surgery Physician Overview

How ALANNA BALBONI, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

ALANNA BALBONI, MD's 43 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BALBONI.

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALANNA BALBONI, MD's specialty?
ALANNA BALBONI, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in SAN DIEGO, California. Credentials: MD.
How much does ALANNA BALBONI, MD prescribe under Medicare Part D?
In 2023, ALANNA BALBONI, MD wrote 43 Medicare Part D claims totaling $415 in drug costs for 24 beneficiaries.
What is ALANNA BALBONI, MD's Medicare quality score?
ALANNA BALBONI, MD has a CMS MIPS Final Score of 75.392/100 (Quality: 59.7838, Cost: 62.3562). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALANNA BALBONI, MD located?
ALANNA BALBONI, MD is located at 34 800 BOB WILSON DRIVE, SAN DIEGO, CA, 92134. Phone: (619) 532-6400.
What is ALANNA BALBONI, MD's NPI number?
ALANNA BALBONI, MD's National Provider Identifier (NPI) is 1851631113, issued on 02/25/2013.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
Does ALANNA BALBONI, MD accept Medicare?
ALANNA BALBONI, MD appears in CMS Medicare data with 43 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALANNA BALBONI, MD's credentials?
ALANNA BALBONI, MD's NPI is 1851631113 with credentials MD. 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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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