Henri Balaguera, M.D.
Hospitalist Physician · Burlington, MA
Henri Balaguera, M.D. is a hospitalist physician with a practice address in Burlington, Massachusetts, and NPI 1922069020, issued on Mar 29, 2006. Check the license (Massachusetts 205583, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Henri Balaguera
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- 205583 MA
Self-reported in NPPES; status is on the state search - Practice location
- 41 Mall RD, Burlington, MA 01805
- Phone
- (781) 744-7000
- Enumerated
- Mar 29, 2006
- Record last updated
- Jan 4, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (781) 744-5378
- Medicaid ID
- 110085290A MA
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 525 in Massachusetts → Look up another NPI →
Also registered at 41 Mall RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Juliet Aborn, REGISTERED NURSECertified Registered Nurse Anesthetist1932727930
- Omar Abuqamar, M.D., M.M.S.C.,Ophthalmology Physician1437640414
- Emily Adams, PA-CPhysician Assistant1457685752
- Oluwaseun Adebagbo, MDStudent in an Organized Health Care Education/Training Program1588468755
- Christopher Adler, PAPhysician Assistant1972848463
- Tinamarie Adly, NPFamily Nurse Practitioner1154041572
Verify Henri Balaguera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 205583Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average hospitalist physician in 2024
143 Medicare Part D claims for 58 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Gamunex-C13 claims
- Np Thyroid11 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 MIPS final score for 2023 (Medicare payment program): 91.4 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $84.89
3 payments; by number, the most common kind was food and beverage; the largest payer was Alexion Pharmaceuticals, Inc. The 7,324 providers of this specialty with any payment received $494.84 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.
Henri Balaguera among 525 hospitalist physician records in Massachusetts
Henri Balaguera, M.D. is one of 525 hospitalist physician records with a practice address in Massachusetts. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 80% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileNo · 86% of these records are
- Record last updated2019 · 36% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
68 hospitalist physician records list a practice address in Burlington
They are 68 of the 2,620 NPPES records with a practice address in Burlington, and 525 hospitalist physician records in Massachusetts.
All 525 in Massachusetts → Every provider in Burlington → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Jody Blank, M.D.Burlington, MA 018051740221274
- Noah Finkel, MDBurlington, MA 018051831133008
- Kenya Hanspard, MDBurlington, MA 018051932170305
- Jeffrey Heit, MDBurlington, MA 018051508893447
- Richard Ma, M.D.Burlington, MA 018051013995398
- Venkata Meka, M.D.Burlington, MA 018051770569246
- Debjani Mukherjee, MDBurlington, MA 018051699795948
- Rositsa Petrova, M.D.Burlington, MA 018051497793954
Common questions
What is Henri Balaguera, M.D.'s NPI number?
Henri Balaguera, M.D.'s National Provider Identifier (NPI) is 1922069020, issued on Mar 29, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Henri Balaguera, M.D. located?
The NPPES record lists a practice address at 41 Mall RD, Burlington, MA, 01805. Phone: (781) 744-7000. Providers update this record themselves, so call before visiting.
How can I verify Henri Balaguera, M.D.'s license?
NPPES lists Massachusetts license number 205583, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Henri Balaguera, M.D. prescribe under Medicare Part D?
In 2024, Henri Balaguera, M.D. had 143 Medicare Part D claims for 58 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Henri Balaguera, M.D.'s MIPS final score?
The 2023 MIPS final score is 91.4 of 100. 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.