2026 NPPES data Pain Medicine Physician NPI 1609980432 MD
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BALAJI CHARLU, MD

Pain Medicine Physician in NEWPORT BEACH, 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
1K
Medicare Part D claims · 428 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
83.648/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$502.53
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BALAJI CHARLU, MD reported a CMS MIPS final score of 83.648/100 — above the 83.1 national average — and filed 1,182 Medicare Part D claims in 2023.

83.648/100
MIPS score · +1 vs avg
1K
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.

BALAJI CHARLU, MD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

BALAJI CHARLU, 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).

What does the federal data show about BALAJI CHARLU, MD?

Near national average

NPI registry status

Active

Issued 08/18/2006

NPI 1609980432

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

1,182 43% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

83.648/100 0.5480000000000018% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Pain Medicine Physician compares to other specialties among California providers

California providers

Pain Medicine Physician share within California

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

Medicare quality performance — MIPS

BALAJI CHARLU, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average

Near national average
MIPS Final Score
83.648/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 83.648/100 vs national avg 83.1

0%100%National avg83%83.6%
MIPS final score (Pain Medicine Physician) — 83.648/100 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).

BALAJI CHARLU, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 22 CORPORATE PLAZA DR, NEWPORT BEACH, CA, 92660, with a listed phone of (949) 722-7038. NPI 1609980432 was issued on 08/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHARLU 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 1,182 prescription claims written by this provider, covering 428 Medicare beneficiaries and totaling roughly $21K in drug spend, with an opioid prescribing rate of 30.8%. 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 83.648/100 for the 2023 performance year (Quality 94.961, Cost 54.7315), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660

Provider Details

NPI 1609980432
Specialty Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/18/2006

CMS Quality Score (MIPS)

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

83.648
Final Score
Avg: 83.1
94.961
Quality
54.7315
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where BALAJI CHARLU, 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.

ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP
NEWPORT BEACH, 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 BALAJI CHARLU, MD. Source: openpaymentsdata.cms.gov.

Total received

$503

Largest payer

Boston Scientific 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 BALAJI CHARLU, MD. To verify BALAJI CHARLU, 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.

1,182
Total Claims
$21K
Total Drug Cost
428
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,379
Total Day Supply
35,628
Generic Drug Cost
$19K
Opioid Claims
364 (30.8% rate)

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.57
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What BALAJI CHARLU, 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
Gabapentin
455
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
173
Tramadol Hcl
84
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
68
Etodolac
52
Meloxicam
42
Pregabalin
33
Celecoxib
30
Baclofen
26
Tizanidine Hcl
25

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

Pain Medicine Physician Overview

How BALAJI CHARLU, MD fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

BALAJI CHARLU, MD's 1,182 claims are below the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is BALAJI CHARLU, MD's specialty?
BALAJI CHARLU, MD specializes in Pain Medicine Physician and practices in NEWPORT BEACH, California. Credentials: MD.
How much does BALAJI CHARLU, MD prescribe under Medicare Part D?
In 2023, BALAJI CHARLU, MD wrote 1,182 Medicare Part D claims totaling $21K in drug costs for 428 beneficiaries.
What is BALAJI CHARLU, MD's Medicare quality score?
BALAJI CHARLU, MD has a CMS MIPS Final Score of 83.648/100 (Quality: 94.961, Cost: 54.7315). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BALAJI CHARLU, MD located?
BALAJI CHARLU, MD is located at 22 CORPORATE PLAZA DR, NEWPORT BEACH, CA, 92660. Phone: (949) 722-7038.
What is BALAJI CHARLU, MD's NPI number?
BALAJI CHARLU, MD's National Provider Identifier (NPI) is 1609980432, issued on 08/18/2006.
Does BALAJI CHARLU, MD prescribe opioids?
Yes, BALAJI CHARLU, MD had 364 opioid claims in 2023 with an opioid prescribing rate of 30.8%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does BALAJI CHARLU, MD prescribe most often?
Based on 2023 Medicare Part D data, BALAJI CHARLU, MD's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BALAJI CHARLU, MD accept Medicare?
BALAJI CHARLU, MD appears in CMS Medicare data with 1,182 Part D claims and 428 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BALAJI CHARLU, MD's credentials?
BALAJI CHARLU, MD's NPI is 1609980432 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