2026 NPPES data Surgery Physician NPI 1497936900 M.D., M.P.H.
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Andrew Barleben, M.D., M.P.H.

Surgery Physician in Orange, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
20
Medicare Part D claims · 11 beneficiaries · Surgery Physician avg: 169
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$21.1K
189 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Andrew Barleben, M.D., M.P.H. reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 20 Medicare Part D claims in 2023.

79.4/100
MIPS score · -4 vs avg
20
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.

Andrew Barleben, M.D., M.P.H.'s MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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+: 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

Where Andrew Barleben, M.D., M.P.H. sits

This provider among surgery physician peers

Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Barleben, M.D., M.P.H. writes more Part D claims than 9% of them and scores higher on MIPS quality than 29% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7Andrew Barleben, M.D., M.P.H.-Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 29
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Andrew Barleben, M.D., M.P.H.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Andrew Barleben, M.D., M.P.H. 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).

What does the federal data show about Andrew Barleben, M.D., M.P.H.?

Near national average

NPI registry status

Active

Issued 11/27/2007

NPI 1497936900

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

20 88% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

79.4/100 3.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Surgery Physician compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Surgery Physician - 0.4%Surgery Physician0.4%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Andrew Barleben, M.D., M.P.H.'s 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
79.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) - 79.4/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Surgery Physician) - 79.4/100 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).

Andrew Barleben, M.D., M.P.H. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D., M.P.H. credentials at 333 CITY BLVD W, Orange, CA, 92868, with a listed phone of (714) 456-5532. NPI 1497936900 was issued on 11/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Barleben 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 20 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $1K 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 79.4/100 for the 2023 performance year (Quality 88.3, Cost 69.5), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

333 CITY BLVD W
Orange, CA 92868

Provider Details

NPI 1497936900
Specialty Surgery Physician
Credentials M.D., M.P.H.
Gender Male
NPI Issued 11/27/2007

CMS Quality Score (MIPS)

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

79.4433
Final Score
Avg: 83.1
88.3333
Quality
69.5333
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Andrew Barleben, M.D., M.P.H. 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.

Regents OF The Univ OF CA
Sacramento, CA

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 Barleben, M.D., M.P.H.. Source: openpaymentsdata.cms.gov.

Total received

$21.1K

Largest payer

Cook Incorporated

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 Andrew Barleben, M.D., M.P.H.. To verify Andrew Barleben, M.D., M.P.H.'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.

20
Total Claims
$1K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
749
Generic Drug Cost
$298

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
2.61

Surgery Physician Overview

How Andrew Barleben, M.D., M.P.H. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

Andrew Barleben, M.D., M.P.H.'s 20 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in California

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Andrew Barleben, M.D., M.P.H.'s specialty?
Andrew Barleben, M.D., M.P.H. specializes in Surgery Physician and practices in Orange, California. Credentials: M.D., M.P.H..
How much does Andrew Barleben, M.D., M.P.H. prescribe under Medicare Part D?
In 2023, Andrew Barleben, M.D., M.P.H. wrote 20 Medicare Part D claims totaling $1K in drug costs for 11 beneficiaries.
What is Andrew Barleben, M.D., M.P.H.'s Medicare quality score?
Andrew Barleben, M.D., M.P.H. has a CMS MIPS Final Score of 79.4/100 (Quality: 88.3, Cost: 69.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Barleben, M.D., M.P.H. located?
Andrew Barleben, M.D., M.P.H. is located at 333 CITY BLVD W, Orange, CA, 92868. Phone: (714) 456-5532.
What is Andrew Barleben, M.D., M.P.H.'s NPI number?
Andrew Barleben, M.D., M.P.H.'s National Provider Identifier (NPI) is 1497936900, issued on 11/27/2007.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does Andrew Barleben, M.D., M.P.H. accept Medicare?
Andrew Barleben, M.D., M.P.H. appears in CMS Medicare data with 20 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Barleben, M.D., M.P.H.'s credentials?
Andrew Barleben, M.D., M.P.H.'s NPI is 1497936900 with credentials M.D., M.P.H.. 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

Compiled from official public sources by the PlainDoctor editorial team.