2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1316108806 MD
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Balazs Galdi, MD

Sports Medicine (Orthopaedic Surgery) Physician in Newark, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic 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
173
Medicare Part D claims · 71 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
73.3/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Balazs Galdi, MD reported a CMS MIPS final score of 73.3/100 - below the 83.1 national average - and filed 173 Medicare Part D claims in 2023.

73.3/100
MIPS score · -10 vs avg
173
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.

Balazs Galdi, MD's MIPS score vs every scored U.S. clinician

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

73 11th percentile higher than 11% 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 Balazs Galdi, MD sits

This provider among sports medicine (orthopaedic surgery) physician peers

Across the 1,085 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Balazs Galdi, MD writes more Part D claims than 44% of them and scores higher on MIPS quality than 22% - 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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 22Balazs Galdi, MD-Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 22
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Balazs Galdi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Balazs Galdi, 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 Balazs Galdi, MD?

Below national average

NPI registry status

Active

Issued 06/18/2008

NPI 1316108806

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

173 38% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

73.3/100 9.8 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 5.9%Physical Therapist5.9%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 5.4%Student in an Organized Health Care Education/Training Program5.4%Pharmacist - 5%Pharmacist5%Internal Medicine Physician - 3.1%Internal Medicine Physician3.1%Sports Medicine (Orthopaedic Surgery) Physician - 0.1%Sports Medicine (Orthopaedic Surgery) Physician0.1%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Balazs Galdi, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Below national average
MIPS Final Score
73.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 73.3/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) - 73.3/100 vs national avg 83.1
How MIPS and board certification work

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).

Balazs Galdi, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 140 BERGEN ST, Newark, NJ, 07103, with a listed phone of (973) 972-8240. NPI 1316108806 was issued on 06/18/2008.

Medicare Part D records for calendar year 2023 show 173 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 27.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.3/100 for the 2023 performance year (Quality 44.9, Cost 47.7), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

140 BERGEN ST
Newark, NJ 07103

Provider Details

NPI 1316108806
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 06/18/2008

CMS Quality Score (MIPS)

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

73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Balazs Galdi, 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.

University Physician Associates OF New Jersey Inc
Newark, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

173
Total Claims
$2K
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
173
Total Day Supply
2,873
Generic Drug Cost
$2K
Opioid Claims
48 (27.7% rate)

Patient Demographics

Average Patient Age
66.5 years
Avg HCC Risk Score
1.52
Gender Split
58% female / 42% male
Age Distribution
<65: 25, 65-74: 31, 75-84: 15, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What Balazs Galdi, 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
Oxycodone Hcl
43
Meloxicam
32
Diclofenac Sodium
29
Naproxen
16
Gabapentin
12

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How Balazs Galdi, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

Balazs Galdi, MD's 173 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Galdi.

Compare Sports Medicine (Orthopaedic 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic 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 Balazs Galdi, MD's specialty?
Balazs Galdi, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Newark, New Jersey. Credentials: MD.
How much does Balazs Galdi, MD prescribe under Medicare Part D?
In 2023, Balazs Galdi, MD wrote 173 Medicare Part D claims totaling $2K in drug costs for 71 beneficiaries.
What is Balazs Galdi, MD's Medicare quality score?
Balazs Galdi, MD has a CMS MIPS Final Score of 73.3/100 (Quality: 44.9, Cost: 47.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Balazs Galdi, MD located?
Balazs Galdi, MD is located at 140 BERGEN ST, Newark, NJ, 07103. Phone: (973) 972-8240.
What is Balazs Galdi, MD's NPI number?
Balazs Galdi, MD's National Provider Identifier (NPI) is 1316108806, issued on 06/18/2008.
Does Balazs Galdi, MD prescribe opioids?
Yes, Balazs Galdi, MD had 48 opioid claims in 2023 with an opioid prescribing rate of 27.7%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Balazs Galdi, MD prescribe most often?
Based on 2023 Medicare Part D data, Balazs Galdi, MD's most frequently prescribed drugs include Oxycodone Hcl, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Balazs Galdi, MD accept Medicare?
Balazs Galdi, MD appears in CMS Medicare data with 173 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Balazs Galdi, MD's credentials?
Balazs Galdi, MD's NPI is 1316108806 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

View source datasets and methodology notes
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.