2026 NPPES data Spinal Cord Injury Medicine Physician NPI 1104931542 M.D.
Verify on CMS →

GLENN BALFOUR, M.D.

Spinal Cord Injury Medicine Physician in CARLSBAD, California. 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
244
Medicare Part D claims · 36 beneficiaries · Spinal Cord Injury Medicine Physician avg: 705
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$218.58
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GLENN BALFOUR, M.D. is a Spinal Cord Injury Medicine Physician ([object Object]) practicing in CARLSBAD, California with a Medicare Part D prescribing footprint of 244 claims across 36 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $218.58 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GLENN BALFOUR, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 244 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)

GLENN BALFOUR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GLENN BALFOUR, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/19/2006

NPI 1104931542

Primary specialty

Spinal Cord Injury Medicine Physician

Rare

261 US NPIs in this specialty

Medicare Part D claims

244 65% vs specialty avg

2023 prescription claims

Specialty avg: 705

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Spinal Cord Injury Medicine Physician compares to other specialties among California providers

California providers

Spinal Cord Injury Medicine Physician share within California

1. Spinal Cord Injury Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Spinal Cord Injury Medicine Physician share within California

Medicare quality performance — MIPS

GLENN BALFOUR, M.D.'s 2023 MIPS final score plotted against the Spinal Cord Injury Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Spinal Cord Injury Medicine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Spinal Cord Injury Medicine Physician) — 0/100 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).

GLENN BALFOUR, M.D. is a Spinal Cord Injury Medicine Physician provider practicing in CARLSBAD, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1104931542. 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.

GLENN BALFOUR, M.D. appears in the CMS NPPES registry as a Spinal Cord Injury Medicine Physician provider holding M.D. credentials at 785 GRAND AVE STE 218, CARLSBAD, CA, 92008, with a listed phone of (442) 500-8851. NPI 1104931542 was issued on 08/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALFOUR 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 244 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $51K in drug spend. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Spinal Cord Injury Medicine Physician is a narrow specialty nationwide, with 261 enrolled providers across 36 states and an average of 705 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

785 GRAND AVE STE 218
CARLSBAD, CA 92008

Provider Details

NPI 1104931542
Specialty Spinal Cord Injury Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/19/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 GLENN BALFOUR, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$219

Largest payer

ABBVIE 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to GLENN BALFOUR, M.D.. To verify GLENN BALFOUR, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

244
Total Claims
$51K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
419
Total Day Supply
12,360
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.45
Gender Split
53% female / 47% 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
Memantine Hcl
32
Carbidopa-Levodopa
Carbidopa/Levodopa
30
Donepezil Hcl
29
Pregabalin
13
Primidone
11

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

Spinal Cord Injury Medicine Physician Overview

How GLENN BALFOUR, M.D. fits within the Spinal Cord Injury Medicine Physician landscape nationally.

261
Spinal Cord Injury Medicine Physician Providers in US
36
States with Spinal Cord Injury Medicine Physician
705
Avg Claims per Provider

GLENN BALFOUR, M.D.'s 244 claims are below the specialty average of 705.

Nearby Spinal Cord Injury Medicine Physician Providers in California

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

Compare Spinal Cord Injury Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GLENN BALFOUR, M.D.'s specialty?
GLENN BALFOUR, M.D. specializes in Spinal Cord Injury Medicine Physician and practices in CARLSBAD, California. Credentials: M.D..
How much does GLENN BALFOUR, M.D. prescribe under Medicare Part D?
In 2023, GLENN BALFOUR, M.D. wrote 244 Medicare Part D claims totaling $51K in drug costs for 36 beneficiaries.
What is GLENN BALFOUR, M.D.'s Medicare quality score?
GLENN BALFOUR, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GLENN BALFOUR, M.D. located?
GLENN BALFOUR, M.D. is located at 785 GRAND AVE STE 218, CARLSBAD, CA, 92008. Phone: (442) 500-8851.
What is GLENN BALFOUR, M.D.'s NPI number?
GLENN BALFOUR, M.D.'s National Provider Identifier (NPI) is 1104931542, issued on 08/19/2006.
How many Spinal Cord Injury Medicine Physician providers are there in the US?
There are 261 Spinal Cord Injury Medicine Physician providers across 36 states in the US. The average Spinal Cord Injury Medicine Physician provider writes 705 Medicare Part D claims per year.
What drugs does GLENN BALFOUR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GLENN BALFOUR, M.D.'s most frequently prescribed drugs include Memantine Hcl, Carbidopa-Levodopa, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GLENN BALFOUR, M.D. accept Medicare?
GLENN BALFOUR, M.D. appears in CMS Medicare data with 244 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GLENN BALFOUR, M.D.'s credentials?
GLENN BALFOUR, M.D.'s NPI is 1104931542 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

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