2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1306231832 MD
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Cristian Balcescu, MD

Orthopaedic Surgery of the Spine Physician in Casper, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,773 in Orthopaedic Surgery of the Spine 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
140
Medicare Part D claims · 68 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
29/100
▼ 54 pts below national avg 83.1 · Below average
Industry payments
$5.6K
30 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Cristian Balcescu, MD reported a CMS MIPS final score of 29/100 - below the 83.1 national average - and filed 140 Medicare Part D claims in 2023.

29/100
MIPS score · -54 vs avg
140
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.

Cristian Balcescu, MD's MIPS score vs every scored U.S. clinician

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

29 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 Cristian Balcescu, MD sits

This provider among orthopaedic surgery of the spine physician peers

Across the 649 orthopaedic surgery of the spine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Cristian Balcescu, MD writes more Part D claims than 30% of them and scores higher on MIPS quality than 6% - 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: 8 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 48Cristian Balcescu, MD-Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

Cristian Balcescu, 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 Cristian Balcescu, MD?

Below national average

NPI registry status

Active

Issued 04/01/2015

NPI 1306231832

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

140 61% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

29/100 54.1 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Wyoming

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker - 10.7%Community Health Worker10.7%Case Manager/Care Coordinator - 10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Physical Therapist - 5%Physical Therapist5%Pharmacist - 4.7%Pharmacist4.7%Professional Counselor - 3.5%Professional Counselor3.5%Orthopaedic Surgery of the Spine Physician - 0%Orthopaedic Surgery of the Spine Physician0%
Largest specialties in Wyoming (% of in-state providers)

Medicare quality performance, MIPS

Cristian Balcescu, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
29/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) - 29/100 vs national avg 83.1

0%100%National avg83%29%
MIPS final score (Orthopaedic Surgery of the Spine Physician) - 29/100 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).

Cristian Balcescu, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 1541 DIAMOND DR, Casper, WY, 82601, with a listed phone of (307) 237-3077. NPI 1306231832 was issued on 04/01/2015.

Medicare Part D records for calendar year 2023 show 140 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 29.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 29/100 for the 2023 performance year (Quality 0, Cost 96.6), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

1541 DIAMOND DR
Casper, WY 82601

Provider Details

NPI 1306231832
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 04/01/2015

CMS Quality Score (MIPS)

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

28.9692
Final Score
Avg: 83.1
0
Quality
96.564
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Cristian Balcescu, 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.

Summit Memorial Medical Group LLC
Casper, WY

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 Cristian Balcescu, MD. Source: openpaymentsdata.cms.gov.

Total received

$5.6K

Largest payer

Medtronic, Inc.

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.

Medicare Part D Prescribing Data

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

140
Total Claims
$2K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
140
Total Day Supply
2,342
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
41 (29.3% rate)

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
0.80
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What Cristian Balcescu, 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
Celecoxib
22
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
20
Meloxicam
20
Methylprednisolone
17
Gabapentin
15
Diazepam
11

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

Orthopaedic Surgery of the Spine Physician Overview

How Cristian Balcescu, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

Cristian Balcescu, MD's 140 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Wyoming

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

Compare Orthopaedic Surgery of the Spine 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 Wyoming medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic Surgery of the Spine 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 Cristian Balcescu, MD's specialty?
Cristian Balcescu, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in Casper, Wyoming. Credentials: MD.
How much does Cristian Balcescu, MD prescribe under Medicare Part D?
In 2023, Cristian Balcescu, MD wrote 140 Medicare Part D claims totaling $2K in drug costs for 68 beneficiaries.
What is Cristian Balcescu, MD's Medicare quality score?
Cristian Balcescu, MD has a CMS MIPS Final Score of 29/100 (Quality: 0, Cost: 96.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Cristian Balcescu, MD located?
Cristian Balcescu, MD is located at 1541 DIAMOND DR, Casper, WY, 82601. Phone: (307) 237-3077.
What is Cristian Balcescu, MD's NPI number?
Cristian Balcescu, MD's National Provider Identifier (NPI) is 1306231832, issued on 04/01/2015.
Does Cristian Balcescu, MD prescribe opioids?
Yes, Cristian Balcescu, MD had 41 opioid claims in 2023 with an opioid prescribing rate of 29.3%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does Cristian Balcescu, MD prescribe most often?
Based on 2023 Medicare Part D data, Cristian Balcescu, MD's most frequently prescribed drugs include Celecoxib, Hydrocodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cristian Balcescu, MD accept Medicare?
Cristian Balcescu, MD appears in CMS Medicare data with 140 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cristian Balcescu, MD's credentials?
Cristian Balcescu, MD's NPI is 1306231832 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.