NPI registry status
Active
2026 NPPES data Community Health Worker NPI 1326362278 DO
Verify on CMS → Charlotte Ballantine, DO
Community Health Worker in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 46,467 in Community Health Worker, 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
198
Medicare Part D claims · 43 beneficiaries · Community Health Worker avg: 1K
MIPS score
85.2/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Charlotte Ballantine, DO reported a CMS MIPS final score of 85.2/100 - above the 83.1 national average - and filed 198 Medicare Part D claims in 2023.
- 85.2/100
- MIPS score · +2 vs avg
- 198
- Part D claims, 2023
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.
Charlotte Ballantine, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 49th percentile higher than 49% of 477,587 scored providers
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
What does the federal data show about Charlotte Ballantine, DO?
High performer (top quartile)Primary specialty
Community Health Worker
Medicare Part D claims
198 85% vs specialty avg
MIPS final score
85.2/100 2.1 pts vs avg
Specialty distribution in New Mexico
How Community Health Worker compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Charlotte Ballantine, DO's 2023 MIPS final score plotted against the Community Health Worker national average
- MIPS Final Score
- 85.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Community Health Worker) - 85.2/100 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).
Charlotte Ballantine, DO appears in the CMS NPPES registry as a Community Health Worker provider holding DO credentials at UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER, Albuquerque, NM, 87131, with a listed phone of (720) 692-6068. NPI 1326362278 was issued on 03/22/2010.
Medicare Part D records for calendar year 2023 show 198 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $29K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.2/100 for the 2023 performance year (Quality 81, Cost 57.1), compared with the national average of 83.1.
Community Health Worker is a mid-sized specialty nationwide, with 46,467 enrolled providers across 53 states and an average of 1,291 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
Provider Details
| NPI | 1326362278 |
|---|---|
| Specialty | Community Health Worker |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 03/22/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.1802
Final Score
Avg: 83.1
81.0056
Quality
57.0846
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Charlotte Ballantine, DO 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.
Montrose Memorial Hospital, Inc
Montrose, CO
Unm Medical Group Inc
Albuquerque, NM
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.
198
Total Claims
$29K
Total Drug Cost
43
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 436
- Total Day Supply
- 12,696
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.65
- 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.
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Community Health Worker Overview
How Charlotte Ballantine, DO fits within the Community Health Worker landscape nationally.
46,467
Community Health Worker Providers in US
53
States with Community Health Worker
1,291
Avg Claims per Provider
Charlotte Ballantine, DO's 198 claims are below the specialty average of 1,291.
Nearby Community Health Worker Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Ballantine.
Toya Abatso-Diaz
Albuquerque, NM
Mary Abeita
Santo Domingo Pueblo, NM
Diana Abeyta
Albuquerque, NM
Michelle Abeyta
Ranchos De Taos, NM
Tanya Abeyta
Ranchos De Taos, NM
Compare Community Health Worker 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 Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Community Health Worker 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.
Healthcare Guides
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How to Find a Doctor
Step-by-step guide to choosing a provider
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Mexico
Frequently Asked Questions
What is Charlotte Ballantine, DO's specialty? ▼
Charlotte Ballantine, DO specializes in Community Health Worker and practices in Albuquerque, New Mexico. Credentials: DO.
How much does Charlotte Ballantine, DO prescribe under Medicare Part D? ▼
In 2023, Charlotte Ballantine, DO wrote 198 Medicare Part D claims totaling $29K in drug costs for 43 beneficiaries.
What is Charlotte Ballantine, DO's Medicare quality score? ▼
Charlotte Ballantine, DO has a CMS MIPS Final Score of 85.2/100 (Quality: 81, Cost: 57.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Charlotte Ballantine, DO located? ▼
Charlotte Ballantine, DO is located at UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER, Albuquerque, NM, 87131. Phone: (720) 692-6068.
What is Charlotte Ballantine, DO's NPI number? ▼
Charlotte Ballantine, DO's National Provider Identifier (NPI) is 1326362278, issued on 03/22/2010.
How many Community Health Worker providers are there in the US? ▼
There are 46,467 Community Health Worker providers across 53 states in the US. The average Community Health Worker provider writes 1,291 Medicare Part D claims per year.
What drugs does Charlotte Ballantine, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Charlotte Ballantine, DO's most frequently prescribed drugs include Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charlotte Ballantine, DO accept Medicare? ▼
Charlotte Ballantine, DO appears in CMS Medicare data with 198 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charlotte Ballantine, DO's credentials? ▼
Charlotte Ballantine, DO's NPI is 1326362278 with credentials DO. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.