NPI registry status
Active
2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1699896571 MD
Verify on CMS → Grigor Badalyan, MD
Sleep Medicine (Internal Medicine) Physician in Monroe, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 859 in Sleep Medicine (Internal Medicine) 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
4K
Medicare Part D claims · 589 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
0%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.4/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$757.28
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Grigor Badalyan, MD reported a CMS MIPS final score of 95.4/100 - above the 83.1 national average - and filed 4,488 Medicare Part D claims in 2023.
- 95.4/100
- MIPS score · +12 vs avg
- 4K
- Part D claims, 2023
- 0%
- 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.
Grigor Badalyan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% 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
Where Grigor Badalyan, MD sits
This provider among sleep medicine (internal medicine) physician peers
Across the 295 sleep medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Grigor Badalyan, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 84% - placing this provider in the high-volume, high-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
Each dot is one sleep medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Grigor Badalyan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Grigor Badalyan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Grigor Badalyan, MD?
High performer (top quartile)Primary specialty
Sleep Medicine (Internal Medicine) Physician
Medicare Part D claims
4,488 243% vs specialty avg
MIPS final score
95.4/100 12.3 pts vs avg
Specialty distribution in North Carolina
How Sleep Medicine (Internal Medicine) Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Grigor Badalyan, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 95.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 95.4/100 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).
Grigor Badalyan, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 1550 FAULK ST, Monroe, NC, 28112, with a listed phone of (980) 993-6320. NPI 1699896571 was issued on 04/02/2007.
Medicare Part D records for calendar year 2023 show 4,488 prescription claims written by this provider, covering 589 Medicare beneficiaries and totaling roughly $2.7 million in drug spend, split 55% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.4/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 859 enrolled providers across 52 states and an average of 1,310 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 | 1699896571 |
|---|---|
| Specialty | Sleep Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/02/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Grigor Badalyan, 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.
Carolinas Medical Center
Charlotte, NC
Carolinas Physicians Network Inc
Matthews, NC
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 Grigor Badalyan, MD. Source: openpaymentsdata.cms.gov.
Total received
$757
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.
Brand vs generic prescribing mix · Brand-heavy
Grigor Badalyan, MD - brand share 55.0%
Sleep Medicine (Internal Medicine) Physician average
55% brand-name claims vs 0% generic, on 4,488 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.
4,488
Total Claims
$2.7M
Total Drug Cost
589
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,000
- Total Day Supply
- 169,252
- Brand vs Generic
- 55% brand / 0% generic
- Brand Drug Cost
- $2.6M
- Antibiotic Claims
- 224
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.88
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 88, 65-74: 239, 75-84: 211, 85+: 51
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Grigor Badalyan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
548 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
432 claims
- Prednisone
Prednisone
274 claims
- Breo Ellipta
Breo Ellipta
229 claims
- Anoro Ellipta 201
Anoro Ellipta
201 claims
- Fluticasone Propio… 200
Fluticasone Propionate
200 claims
- Stiolto Respimat 161
Stiolto Respimat
161 claims
- Montelukast Sodium 157
Montelukast Sodium
157 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 548 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 432 |
| Prednisone | 274 |
| Breo Ellipta Fluticasone/Vilanterol | 229 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 201 |
| Fluticasone Propionate | 200 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 161 |
| Montelukast Sodium | 157 |
| Symbicort Budesonide/Formoterol Fumarate | 144 |
| Azelastine Hcl | 137 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Internal Medicine) Physician in NC →
All providers in North Carolina →
Compare specialties →
Sleep Medicine (Internal Medicine) Physician Overview
How Grigor Badalyan, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.
859
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider
Grigor Badalyan, MD's 4,488 claims are above the specialty average of 1,310.
Nearby Sleep Medicine (Internal Medicine) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Badalyan.
Dr. Iyad Asaad
MD
Concord, NC
Dr. Cameron Barber
DO
Cary, NC
Dr. Ruth Benca
MD PHD
Winston Salem, NC
Dr. Brooke Bost
PA-C
Hudson, NC
Dr. Steve Chung
DO
Charlotte, NC
Compare Sleep Medicine (Internal Medicine) 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Internal Medicine) 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.
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Frequently Asked Questions
What is Grigor Badalyan, MD's specialty? ▼
Grigor Badalyan, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in Monroe, North Carolina. Credentials: MD.
How much does Grigor Badalyan, MD prescribe under Medicare Part D? ▼
In 2023, Grigor Badalyan, MD wrote 4,488 Medicare Part D claims totaling $2.7M in drug costs for 589 beneficiaries.
What is Grigor Badalyan, MD's Medicare quality score? ▼
Grigor Badalyan, MD has a CMS MIPS Final Score of 95.4/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Grigor Badalyan, MD located? ▼
Grigor Badalyan, MD is located at 1550 FAULK ST, Monroe, NC, 28112. Phone: (980) 993-6320.
What is Grigor Badalyan, MD's NPI number? ▼
Grigor Badalyan, MD's National Provider Identifier (NPI) is 1699896571, issued on 04/02/2007.
Does Grigor Badalyan, MD prescribe more brand-name or generic drugs? ▼
Grigor Badalyan, MD's prescribing is 55% brand-name and 0% generic drugs by claim count, with $2.6M in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 859 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does Grigor Badalyan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Grigor Badalyan, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Grigor Badalyan, MD accept Medicare? ▼
Grigor Badalyan, MD appears in CMS Medicare data with 4,488 Part D claims and 589 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Grigor Badalyan, MD's credentials? ▼
Grigor Badalyan, MD's NPI is 1699896571 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.
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.