2026 NPPES data Urology Physician NPI 1053573659 M.D., PH.D
Verify on CMS →

Balaji Kalyanaraman, M.D., PH.D

Urology Physician in Florence, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 13,350 in Urology 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
656
Medicare Part D claims · 284 beneficiaries · Urology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$1.2K
22 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Balaji Kalyanaraman, M.D., PH.D reported a CMS MIPS final score of 90.4/100 — above the 83.1 national average — and filed 656 Medicare Part D claims in 2023.

90.4/100
MIPS score · +7 vs avg
656
Part D claims, 2023
94%
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.

Balaji Kalyanaraman, M.D., PH.D's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 Balaji Kalyanaraman, M.D., PH.D sits

This provider among urology physician peers

Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Balaji Kalyanaraman, M.D., PH.D writes more Part D claims than 27% of them and scores higher on MIPS quality than 60% — placing this provider in the lower-volume, high-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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 87Balaji Kalyanaraman, M.D., PH.D — Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 60
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Balaji Kalyanaraman, M.D., PH.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Balaji Kalyanaraman, M.D., PH.D 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 Kalyanaraman, M.D., PH.D?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2008

NPI 1053573659

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

656 49% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

90.4/100 7.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Urology Physician compares to other specialties among Kentucky providers

Kentucky providers

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

Family Nurse Practitioner — 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program — 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist — 4.8%Pharmacist4.8%Mental Health Counselor — 4.6%Mental Health Counselor4.6%Clinical Social Worker — 4.1%Clinical Social Worker4.1%Physical Therapist — 3.7%Physical Therapist3.7%Urology Physician — 0.2%Urology Physician0.2%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance — MIPS

Balaji Kalyanaraman, M.D., PH.D's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
90.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 90.4/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Urology Physician) — 90.4/100 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).

Balaji Kalyanaraman, M.D., PH.D appears in the CMS NPPES registry as a Urology Physician provider holding M.D., PH.D credentials at 7370 TURFWAY RD, Florence, KY, 41042, with a listed phone of (859) 212-0497. NPI 1053573659 was issued on 06/26/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Kalyanaraman 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 656 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $45K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 16.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

7370 TURFWAY RD
Florence, KY 41042

Provider Details

NPI 1053573659
Specialty Urology Physician
Credentials M.D., PH.D
Gender Male
NPI Issued 06/26/2008

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Balaji Kalyanaraman, M.D., PH.D 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.

Summit Medical Group Inc
Lawrenceburg, IN

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 Kalyanaraman, M.D., PH.D. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

PROCEPT BioRobotics 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.

Brand vs generic prescribing mix · Generic-heavy

Balaji Kalyanaraman, M.D., PH.D — brand share 6.0%
Urology Physician average

6% brand-name claims vs 94% generic, on 656 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.

656
Total Claims
$45K
Total Drug Cost
284
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,264
Total Day Supply
32,954
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$29K
Generic Drug Cost
$15K
Opioid Claims
111 (16.9% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.70
Gender Split
18% female / 82% male
Age Distribution
<65: 35, 65-74: 151, 75-84: 81, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What Balaji Kalyanaraman, M.D., PH.D 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
Tamsulosin Hcl
285
Tramadol Hcl
89
Finasteride
48
Levofloxacin
48
Oxybutynin Chloride Er
Oxybutynin Chloride
42
Oxycodone Hcl
17
Fesoterodine Fumarate Er
Fesoterodine Fumarate
16
Myrbetriq
Mirabegron
14

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

Urology Physician Overview

How Balaji Kalyanaraman, M.D., PH.D fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

Balaji Kalyanaraman, M.D., PH.D's 656 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Kentucky

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

Compare Urology 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 Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urology 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 Balaji Kalyanaraman, M.D., PH.D's specialty?
Balaji Kalyanaraman, M.D., PH.D specializes in Urology Physician and practices in Florence, Kentucky. Credentials: M.D., PH.D.
How much does Balaji Kalyanaraman, M.D., PH.D prescribe under Medicare Part D?
In 2023, Balaji Kalyanaraman, M.D., PH.D wrote 656 Medicare Part D claims totaling $45K in drug costs for 284 beneficiaries.
What is Balaji Kalyanaraman, M.D., PH.D's Medicare quality score?
Balaji Kalyanaraman, M.D., PH.D has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Balaji Kalyanaraman, M.D., PH.D located?
Balaji Kalyanaraman, M.D., PH.D is located at 7370 TURFWAY RD, Florence, KY, 41042. Phone: (859) 212-0497.
What is Balaji Kalyanaraman, M.D., PH.D's NPI number?
Balaji Kalyanaraman, M.D., PH.D's National Provider Identifier (NPI) is 1053573659, issued on 06/26/2008.
Does Balaji Kalyanaraman, M.D., PH.D prescribe more brand-name or generic drugs?
Balaji Kalyanaraman, M.D., PH.D's prescribing is 6% brand-name and 94% generic drugs by claim count, with $29K in brand drug costs.
Does Balaji Kalyanaraman, M.D., PH.D prescribe opioids?
Yes, Balaji Kalyanaraman, M.D., PH.D had 111 opioid claims in 2023 with an opioid prescribing rate of 16.9%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Balaji Kalyanaraman, M.D., PH.D prescribe most often?
Based on 2023 Medicare Part D data, Balaji Kalyanaraman, M.D., PH.D's most frequently prescribed drugs include Tamsulosin Hcl, Tramadol Hcl, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Balaji Kalyanaraman, M.D., PH.D accept Medicare?
Balaji Kalyanaraman, M.D., PH.D appears in CMS Medicare data with 656 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Balaji Kalyanaraman, M.D., PH.D's credentials?
Balaji Kalyanaraman, M.D., PH.D's NPI is 1053573659 with credentials M.D., PH.D. 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.