2026 NPPES data Obstetrics & Gynecology Physician NPI 1285679621 M.D.
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Farkad Balaya, M.D.

Obstetrics & Gynecology Physician in West Seneca, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,326 in Obstetrics & Gynecology 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
474
Medicare Part D claims · 100 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68/100
▼ 15 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Farkad Balaya, M.D. reported a CMS MIPS final score of 68/100 - below the 83.1 national average - and filed 474 Medicare Part D claims in 2023.

68/100
MIPS score · -15 vs avg
474
Part D claims, 2023
86%
generic prescribing
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.

Farkad Balaya, M.D.'s MIPS score vs every scored U.S. clinician

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

68 7th percentile higher than 7% 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%). This entry sits in this band. 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 Farkad Balaya, M.D. sits

This provider among obstetrics & gynecology physician peers

Across the 7,413 obstetrics & gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Farkad Balaya, M.D. writes more Part D claims than 92% of them and scores higher on MIPS quality than 5% - placing this provider in the high-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: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 67Farkad Balaya, M.D.-Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one obstetrics & gynecology physician peer from a representative sample of 60; the gold marker is Farkad Balaya, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Farkad Balaya, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Farkad Balaya, M.D.?

Below national average

NPI registry status

Active

Issued 06/19/2006

NPI 1285679621

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,326 US NPIs in this specialty

Medicare Part D claims

474 165% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

68/100 15.1 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Obstetrics & Gynecology Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Obstetrics & Gynecology Physician - 0.6%Obstetrics & Gynecology Physician0.6%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Farkad Balaya, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Below national average
MIPS Final Score
68/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) - 68/100 vs national avg 83.1

0%100%National avg83%68%
MIPS final score (Obstetrics & Gynecology Physician) - 68/100 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).

Farkad Balaya, M.D. appears in the CMS NPPES registry as an Obstetrics & Gynecology Physician provider holding M.D. credentials at 3050 ORCHARD PARK RD, West Seneca, NY, 14224, with a listed phone of (716) 675-5222. NPI 1285679621 was issued on 06/19/2006.

Medicare Part D records for calendar year 2023 show 474 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $31K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 4.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68/100 for the 2023 performance year (Quality 67.2, Cost 39.6), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,326 enrolled providers across 56 states and an average of 179 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

3050 ORCHARD PARK RD
West Seneca, NY 14224

Provider Details

NPI 1285679621
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 06/19/2006

CMS Quality Score (MIPS)

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

68.0271
Final Score
Avg: 83.1
67.1921
Quality
39.565
Cost
64
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Farkad Balaya, M.D. 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.

According to CMS billing records, Farkad Balaya, M.D. is affiliated with 3 Medicare-billing facilities.

Auburn Memorial Medical Services PC
Auburn, NY
Carthage Area Hospital Inc
Ogdensburg, NY
Claxton-Hepburn Medical Center
Ogdensburg, NY
Psychiatric
CMS CCN: 334068

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

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Farkad Balaya, M.D.. To verify Farkad Balaya, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Farkad Balaya, M.D. - brand share 14.0%
Obstetrics & Gynecology Physician average

14% brand-name claims vs 86% generic, on 474 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.

474
Total Claims
$31K
Total Drug Cost
100
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
559
Total Day Supply
12,026
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$22K
Generic Drug Cost
$9K
Opioid Claims
20 (4.2% rate)
Antibiotic Claims
113

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
1.02
Gender Split
100% female / 0% male
Age Distribution
<65: 25, 65-74: 41, 75-84: 21, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What Farkad Balaya, M.D. 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
Fluconazole
58
Ibuprofen
52
Metronidazole
50
Myrbetriq
Mirabegron
33
Estradiol
21
Cephalexin
20
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
18
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
18
Alprazolam
14
Pantoprazole Sodium
12

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

Obstetrics & Gynecology Physician Overview

How Farkad Balaya, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

Farkad Balaya, M.D.'s 474 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in New York

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

Compare Obstetrics & Gynecology 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 York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Obstetrics & Gynecology 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 Farkad Balaya, M.D.'s specialty?
Farkad Balaya, M.D. specializes in Obstetrics & Gynecology Physician and practices in West Seneca, New York. Credentials: M.D..
How much does Farkad Balaya, M.D. prescribe under Medicare Part D?
In 2023, Farkad Balaya, M.D. wrote 474 Medicare Part D claims totaling $31K in drug costs for 100 beneficiaries.
What is Farkad Balaya, M.D.'s Medicare quality score?
Farkad Balaya, M.D. has a CMS MIPS Final Score of 68/100 (Quality: 67.2, Cost: 39.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Farkad Balaya, M.D. located?
Farkad Balaya, M.D. is located at 3050 ORCHARD PARK RD, West Seneca, NY, 14224. Phone: (716) 675-5222.
What is Farkad Balaya, M.D.'s NPI number?
Farkad Balaya, M.D.'s National Provider Identifier (NPI) is 1285679621, issued on 06/19/2006.
Does Farkad Balaya, M.D. prescribe more brand-name or generic drugs?
Farkad Balaya, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $22K in brand drug costs.
Does Farkad Balaya, M.D. prescribe opioids?
Yes, Farkad Balaya, M.D. had 20 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does Farkad Balaya, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Farkad Balaya, M.D.'s most frequently prescribed drugs include Fluconazole, Ibuprofen, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Farkad Balaya, M.D. accept Medicare?
Farkad Balaya, M.D. appears in CMS Medicare data with 474 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Farkad Balaya, M.D.'s credentials?
Farkad Balaya, M.D.'s NPI is 1285679621 with credentials M.D.. 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.