2026 NPPES data Adult Medicine Physician NPI 1235878646 APRN
Verify on CMS →

CAITLIN BALINT, APRN

Adult Medicine Physician in NEWTOWN, Connecticut. 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
3K
Medicare Part D claims · 1K beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.2464/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$51.68
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAITLIN BALINT, APRN is a Adult Medicine Physician ([object Object]) practicing in NEWTOWN, Connecticut with a Medicare Part D prescribing footprint of 3K claims across 1K beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 94.2464/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $51.68 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAITLIN BALINT, APRN reported a CMS MIPS final score of 94.2464 out of 100, above the 83.1 national average, and filed 3,220 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)

CAITLIN BALINT, APRN 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).

CAITLIN BALINT, APRN at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/02/2022

NPI 1235878646

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

3,220 15% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

94.2464/100 11.1464% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Adult Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Adult Medicine Physician share within Connecticut

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

Medicare quality performance — MIPS

CAITLIN BALINT, APRN's 2023 MIPS final score plotted against the Adult Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.2464/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 94.2464/100 vs national avg 83.1

0%100%National avg83%94.2%
MIPS final score (Adult Medicine Physician) — 94.2464/100 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).

CAITLIN BALINT, APRN is a Adult Medicine Physician provider practicing in NEWTOWN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1235878646. 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.

CAITLIN BALINT, APRN appears in the CMS NPPES registry as a Adult Medicine Physician provider holding APRN credentials at 170 MOUNT PLEASANT RD, NEWTOWN, CT, 06470, with a listed phone of (203) 426-1818. NPI 1235878646 was issued on 06/02/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALINT 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 3,220 prescription claims written by this provider, covering 1,389 Medicare beneficiaries and totaling roughly $280K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.7%. 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 94.2464/100 for the 2023 performance year (Quality 78.2615), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

170 MOUNT PLEASANT RD
NEWTOWN, CT 06470

Provider Details

NPI 1235878646
Specialty Adult Medicine Physician
Credentials APRN
Gender Female
NPI Issued 06/02/2022

CMS Quality Score (MIPS)

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

94.2464
Final Score
Avg: 83.1
78.2615
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CAITLIN BALINT, APRN 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.

NUVANCE HEALTH MEDICAL PRACTICE CT INC
NEWTOWN, CT

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 CAITLIN BALINT, APRN. Source: openpaymentsdata.cms.gov.

Total received

$52

Largest payer

E.R. Squibb & Sons, L.L.C.

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 · Typical

CAITLIN BALINT, APRN — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,220 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.

3,220
Total Claims
$280K
Total Drug Cost
1,389
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,725
Total Day Supply
223,462
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$219K
Generic Drug Cost
$60K
Opioid Claims
22 (0.7% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.09
Gender Split
57% female / 43% male
Age Distribution
<65: 76, 65-74: 655, 75-84: 478, 85+: 180

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
308
Amlodipine Besylate
178
Levothyroxine Sodium
162
Lisinopril
155
Losartan Potassium
106
Rosuvastatin Calcium
104
Metformin Hcl
94
Albuterol Sulfate Hfa
Albuterol Sulfate
86
Metoprolol Succinate
74
Sertraline Hcl
74

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

Adult Medicine Physician Overview

How CAITLIN BALINT, APRN fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

CAITLIN BALINT, APRN's 3,220 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is CAITLIN BALINT, APRN's specialty?
CAITLIN BALINT, APRN specializes in Adult Medicine Physician and practices in NEWTOWN, Connecticut. Credentials: APRN.
How much does CAITLIN BALINT, APRN prescribe under Medicare Part D?
In 2023, CAITLIN BALINT, APRN wrote 3,220 Medicare Part D claims totaling $280K in drug costs for 1,389 beneficiaries.
What is CAITLIN BALINT, APRN's Medicare quality score?
CAITLIN BALINT, APRN has a CMS MIPS Final Score of 94.2464/100 (Quality: 78.2615). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAITLIN BALINT, APRN located?
CAITLIN BALINT, APRN is located at 170 MOUNT PLEASANT RD, NEWTOWN, CT, 06470. Phone: (203) 426-1818.
What is CAITLIN BALINT, APRN's NPI number?
CAITLIN BALINT, APRN's National Provider Identifier (NPI) is 1235878646, issued on 06/02/2022.
Does CAITLIN BALINT, APRN prescribe more brand-name or generic drugs?
CAITLIN BALINT, APRN's prescribing is 11% brand-name and 89% generic drugs by claim count, with $219K in brand drug costs.
Does CAITLIN BALINT, APRN prescribe opioids?
Yes, CAITLIN BALINT, APRN had 22 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does CAITLIN BALINT, APRN prescribe most often?
Based on 2023 Medicare Part D data, CAITLIN BALINT, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAITLIN BALINT, APRN accept Medicare?
CAITLIN BALINT, APRN appears in CMS Medicare data with 3,220 Part D claims and 1,389 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAITLIN BALINT, APRN's credentials?
CAITLIN BALINT, APRN's NPI is 1235878646 with credentials APRN. 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