Colleen B. Balkam, M.D.
Orthopaedic Surgery Physician · Leonardtown, MD
Colleen B. Balkam, M.D. is an orthopaedic surgery physician with a practice address in Leonardtown, Maryland, and NPI 1437685492, issued on May 11, 2017. Check the license (Maryland D0094327, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Colleen B. Balkam
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- D0094327 MD
0101275178 VA
Self-reported in NPPES; status is on the state search - Practice location
- 23000 Moakley St Ste 102, Leonardtown, MD 20650
- Phone
- (301) 475-5555
- Enumerated
- May 11, 2017
- Record last updated
- Apr 12, 2023
- Fax
- (301) 475-5914
- Medicare enrollment
- Enrolled (PECOS I20230426003278); accepts Medicare assignment
- Medical or professional school
- Georgetown University School Of Medicine, 2013
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 457 in Maryland → Look up another NPI →
Also registered at 23000 Moakley St Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Valerie Adriani, NP-CNurse Practitioner1093485120
- Renee Bernier, M.D.Neurology Physician1518085034
- Carolyn Estornell, FNP-CNurse Practitioner1922673946
- Margot Geary, M.D.Pain Medicine Physician1114185402
- Jenna Glynn, DPTPhysical Therapist1184855058
- Megan Miles, M.D.Orthopaedic Hand Surgery Physician1740714831
Verify Colleen B. Balkam in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D0094327Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
6% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
368 Medicare Part D claims for 109 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 54 claims were for opioids.
Most prescribed
- Celecoxib187 claims
- Tramadol Hcl27 claims
- Hydrocodone-Acetaminophen26 claims
- Promethazine Hcl22 claims
- Scopolamine21 claims
- Lansoprazole15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 86.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $57.90
2 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Centers For Advanced Orthopaedics LLCLeonardtown, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Colleen B. Balkam among 457 orthopaedic surgery physician records in Maryland
Colleen B. Balkam, M.D. is one of 457 orthopaedic surgery physician records with a practice address in Maryland. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 86% of them.
- NPI issued2017 · 86% of these records are older, 11% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2013 · median 2002 among the 299 with a school on file
- Record last updated2023 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 orthopaedic surgery physician records list a practice address in Leonardtown
They are 6 of the 471 NPPES records with a practice address in Leonardtown, and 457 orthopaedic surgery physician records in Maryland.
All 457 in Maryland → Every provider in Leonardtown → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Daniel Bauk, MDLeonardtown, MD 206501952387730
- Lloyd Cox, MDLeonardtown, MD 206501841276623
- Mark Henderson, MDLeonardtown, MD 206501902883762
- Peter Johnston, MDLeonardtown, MD 206501194946095
- Patricia Turner, M.D.Leonardtown, MD 206501598739435
- Gregg Ferrero, M.D.La Plata, MD 206461629033592
- Peter Trent, MDLa Plata, MD 206461871598110
- Dennis Bullock, CERTIFIDE SURGICAL ALusby, MD 206571770050296
Common questions
What is Colleen B. Balkam, M.D.'s NPI number?
Colleen B. Balkam, M.D.'s National Provider Identifier (NPI) is 1437685492, issued on May 11, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Colleen B. Balkam, M.D. located?
The NPPES record lists a practice address at 23000 Moakley St Ste 102, Leonardtown, MD, 20650. Phone: (301) 475-5555. Providers update this record themselves, so call before visiting.
How can I verify Colleen B. Balkam, M.D.'s license?
NPPES lists Maryland license number D0094327, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Colleen B. Balkam, M.D. prescribe under Medicare Part D?
In 2024, Colleen B. Balkam, M.D. had 368 Medicare Part D claims for 109 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Colleen B. Balkam, M.D.'s MIPS final score?
The 2023 MIPS final score is 86.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.