2026 NPPES data Internal Medicine Physician NPI 1720188832 MD
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ANDREW BALDER, MD

Internal Medicine Physician in SPRINGFIELD, Massachusetts. 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
8K
Medicare Part D claims · 380 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$49.95
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW BALDER, MD filed 7,761 Medicare Part D claims in 2023 as a Internal Medicine Physician in SPRINGFIELD, Massachusetts, prescribing 77% generic.

8K
Part D claims, 2023
77%
generic prescribing
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.

ANDREW BALDER, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

7,761 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ANDREW BALDER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 ANDREW BALDER, MD?

Quality data not reported

NPI registry status

Active

Issued 09/25/2006

NPI 1720188832

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

7,761 186% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Massachusetts

How Internal Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Internal Medicine Physician share within Massachusetts

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine 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).

ANDREW BALDER, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 11 WILBRAHAM RD, SPRINGFIELD, MA, 01109, with a listed phone of (413) 794-3710. NPI 1720188832 was issued on 09/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDER 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 7,761 prescription claims written by this provider, covering 380 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 23% brand-name and 77% generic by claim count, with an opioid prescribing rate of 6.9%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

11 WILBRAHAM RD
SPRINGFIELD, MA 01109

Provider Details

NPI 1720188832
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 09/25/2006

Hospital and facility affiliations

Facilities where ANDREW BALDER, 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.

BAYSTATE MEDICAL PRACTICES INC
SPRINGFIELD, MA
CITY OF SPRINGFIELD
SPRINGFIELD, MA

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 ANDREW BALDER, MD. Source: openpaymentsdata.cms.gov.

Total received

$50

Largest payer

Abbott Laboratories

Most common payment type

Long term medical supply or device loan

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ANDREW BALDER, MD. To verify ANDREW BALDER, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDREW BALDER, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 7,761 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

7,761
Total Claims
$1.3M
Total Drug Cost
380
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,727
Total Day Supply
302,445
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$164K
Opioid Claims
534 (6.9% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
62.9 years
Avg HCC Risk Score
1.65
Gender Split
51% female / 49% male
Age Distribution
<65: 185, 65-74: 132, 75-84: 52, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What ANDREW BALDER, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
400
Amlodipine Besylate
273
Omeprazole
256
Oxycodone Hcl
252
Gabapentin
197
Trulicity
Dulaglutide
188
Lisinopril
181
Levothyroxine Sodium
150
Metformin Hcl
142
Jardiance
Empagliflozin
129

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

Internal Medicine Physician Overview

How ANDREW BALDER, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ANDREW BALDER, MD's 7,761 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Massachusetts

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW BALDER, MD's specialty?
ANDREW BALDER, MD specializes in Internal Medicine Physician and practices in SPRINGFIELD, Massachusetts. Credentials: MD.
How much does ANDREW BALDER, MD prescribe under Medicare Part D?
In 2023, ANDREW BALDER, MD wrote 7,761 Medicare Part D claims totaling $1.3M in drug costs for 380 beneficiaries.
Where is ANDREW BALDER, MD located?
ANDREW BALDER, MD is located at 11 WILBRAHAM RD, SPRINGFIELD, MA, 01109. Phone: (413) 794-3710.
What is ANDREW BALDER, MD's NPI number?
ANDREW BALDER, MD's National Provider Identifier (NPI) is 1720188832, issued on 09/25/2006.
Does ANDREW BALDER, MD prescribe more brand-name or generic drugs?
ANDREW BALDER, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $1.2M in brand drug costs.
Does ANDREW BALDER, MD prescribe opioids?
Yes, ANDREW BALDER, MD had 534 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ANDREW BALDER, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BALDER, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BALDER, MD accept Medicare?
ANDREW BALDER, MD appears in CMS Medicare data with 7,761 Part D claims and 380 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BALDER, MD's credentials?
ANDREW BALDER, MD's NPI is 1720188832 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.
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