2026 NPPES data Psychiatry Physician NPI 1972527430 MD
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ALBERTO BALLESTEROS, MD

Psychiatry Physician in TOMS RIVER, New Jersey. 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
775
Medicare Part D claims · 110 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
93.7128/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$422.67
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ALBERTO BALLESTEROS, MD is a Psychiatry Physician ([object Object]) practicing in TOMS RIVER, New Jersey with a Medicare Part D prescribing footprint of 775 claims across 110 beneficiaries . Their CMS MIPS Final Score of 93.7128/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $422.67 across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ALBERTO BALLESTEROS, MD reported a CMS MIPS final score of 93.7128 out of 100, above the 83.1 national average, and filed 775 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALBERTO BALLESTEROS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ALBERTO BALLESTEROS, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/27/2006

NPI 1972527430

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

775 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

93.7128/100 10.612800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Psychiatry Physician compares to other specialties among New Jersey providers

New Jersey providers

Psychiatry Physician share within New Jersey

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within New Jersey

Medicare quality performance — MIPS

ALBERTO BALLESTEROS, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
93.7128/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 93.7128/100 vs national avg 83.1

0%100%National avg83%93.7%
MIPS final score (Psychiatry Physician) — 93.7128/100 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).

ALBERTO BALLESTEROS, MD is a Psychiatry Physician provider practicing in TOMS RIVER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972527430. 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.

ALBERTO BALLESTEROS, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 1691 ROUTE 9, TOMS RIVER, NJ, 08755, with a listed phone of (732) 914-3843. NPI 1972527430 was issued on 07/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLESTEROS 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 775 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $62K 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 93.7128/100 for the 2023 performance year (Quality 77.7931), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

1691 ROUTE 9
TOMS RIVER, NJ 08755

Provider Details

NPI 1972527430
Specialty Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 07/27/2006

CMS Quality Score (MIPS)

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

93.7128
Final Score
Avg: 83.1
77.7931
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ALBERTO BALLESTEROS, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BARNABAS HEALTH MEDICAL GROUP, PC
HOWELL, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 ALBERTO BALLESTEROS, MD. Source: openpaymentsdata.cms.gov.

Total received

$423

Largest payer

Janssen Pharmaceuticals, Inc

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.

Medicare Part D Prescribing Data

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

775
Total Claims
$62K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
812
Total Day Supply
22,943
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
56.7 years
Avg HCC Risk Score
1.60
Gender Split
55% female / 45% male
Age Distribution
<65: 70, 65-74: 30, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
51
Trazodone Hcl
51
Pantoprazole Sodium
46
Levothyroxine Sodium
31
Amlodipine Besylate
28
Oxcarbazepine
28
Risperidone
24
Gabapentin
22
Quetiapine Fumarate
21
Aripiprazole
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Psychiatry Physician Overview

How ALBERTO BALLESTEROS, MD fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

ALBERTO BALLESTEROS, MD's 775 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in New Jersey

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

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALBERTO BALLESTEROS, MD's specialty?
ALBERTO BALLESTEROS, MD specializes in Psychiatry Physician and practices in TOMS RIVER, New Jersey. Credentials: MD.
How much does ALBERTO BALLESTEROS, MD prescribe under Medicare Part D?
In 2023, ALBERTO BALLESTEROS, MD wrote 775 Medicare Part D claims totaling $62K in drug costs for 110 beneficiaries.
What is ALBERTO BALLESTEROS, MD's Medicare quality score?
ALBERTO BALLESTEROS, MD has a CMS MIPS Final Score of 93.7128/100 (Quality: 77.7931). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALBERTO BALLESTEROS, MD located?
ALBERTO BALLESTEROS, MD is located at 1691 ROUTE 9, TOMS RIVER, NJ, 08755. Phone: (732) 914-3843.
What is ALBERTO BALLESTEROS, MD's NPI number?
ALBERTO BALLESTEROS, MD's National Provider Identifier (NPI) is 1972527430, issued on 07/27/2006.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does ALBERTO BALLESTEROS, MD prescribe most often?
Based on 2023 Medicare Part D data, ALBERTO BALLESTEROS, MD's most frequently prescribed drugs include Atorvastatin Calcium, Trazodone Hcl, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALBERTO BALLESTEROS, MD accept Medicare?
ALBERTO BALLESTEROS, MD appears in CMS Medicare data with 775 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALBERTO BALLESTEROS, MD's credentials?
ALBERTO BALLESTEROS, MD's NPI is 1972527430 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