2026 NPPES data Cardiovascular Disease Physician NPI 1952413601
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ANTHONY DEBALSI

Cardiovascular Disease Physician in ATLANTA, Georgia. 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
16
Medicare Part D claims · Cardiovascular Disease Physician avg: 3K
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
What the federal data reveals: ANTHONY DEBALSI is a Cardiovascular Disease Physician ([object Object]) practicing in ATLANTA, Georgia with a Medicare Part D prescribing footprint of 16 claims . Their CMS MIPS Final Score of 92.2614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANTHONY DEBALSI reported a CMS MIPS final score of 92.2614 out of 100, above the 83.1 national average, and filed 16 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)

ANTHONY DEBALSI 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).

ANTHONY DEBALSI at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/31/2006

NPI 1952413601

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

16 99% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Cardiovascular Disease Physician compares to other specialties among Georgia providers

Georgia providers

Cardiovascular Disease Physician share within Georgia

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Georgia

Medicare quality performance — MIPS

ANTHONY DEBALSI's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Cardiovascular Disease Physician) — 92.2614/100 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).

ANTHONY DEBALSI is a Cardiovascular Disease Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1952413601. 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.

ANTHONY DEBALSI appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider at 1365 CLIFTON RD NE, ATLANTA, GA, 30322, with a listed phone of (404) 778-5299. NPI 1952413601 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEBALSI 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 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $60K 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1365 CLIFTON RD NE
ATLANTA, GA 30322

Provider Details

NPI 1952413601
Specialty Cardiovascular Disease Physician
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Medicare Part D Prescribing Data

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

16
Total Claims
$60K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16
Total Day Supply
270
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
2.50

Cardiovascular Disease Physician Overview

How ANTHONY DEBALSI fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ANTHONY DEBALSI's 16 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Georgia

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY DEBALSI's specialty?
ANTHONY DEBALSI specializes in Cardiovascular Disease Physician and practices in ATLANTA, Georgia.
How much does ANTHONY DEBALSI prescribe under Medicare Part D?
In 2023, ANTHONY DEBALSI wrote 16 Medicare Part D claims totaling $60K in drug costs for N/A beneficiaries.
What is ANTHONY DEBALSI's Medicare quality score?
ANTHONY DEBALSI has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANTHONY DEBALSI located?
ANTHONY DEBALSI is located at 1365 CLIFTON RD NE, ATLANTA, GA, 30322. Phone: (404) 778-5299.
What is ANTHONY DEBALSI's NPI number?
ANTHONY DEBALSI's National Provider Identifier (NPI) is 1952413601, issued on 08/31/2006.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
Does ANTHONY DEBALSI accept Medicare?
ANTHONY DEBALSI appears in CMS Medicare data with 16 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY DEBALSI's credentials?
ANTHONY DEBALSI's NPI is 1952413601. 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