NPI registry status
Active
2026 NPPES data Allergy Physician NPI 1235405952 M.D.
Verify on CMS → Jeffrey Balduzzi, M.D.
Allergy Physician in Stockton, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,019 in Allergy 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
100
Medicare Part D claims · 25 beneficiaries · Allergy Physician avg: 755
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$946.03
50 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
Jeffrey Balduzzi, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 100 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 100
- Part D claims, 2023
- 65%
- 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.
Jeffrey Balduzzi, 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
100 Top 7% higher than 93% 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 Jeffrey Balduzzi, M.D. sits
This provider among allergy physician peers
Across the 175 allergy physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jeffrey Balduzzi, M.D. writes more Part D claims than 6% of them and scores higher on MIPS quality than 99% - placing this provider in the lower-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 allergy physician peer from a representative sample of 60; the gold marker is Jeffrey Balduzzi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jeffrey Balduzzi, M.D. 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 Jeffrey Balduzzi, M.D.?
High performer (top quartile)Primary specialty
Allergy Physician
Medicare Part D claims
100 87% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in California
How Allergy Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Jeffrey Balduzzi, M.D.'s 2023 MIPS final score plotted against the Allergy Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Allergy Physician) - 100/100 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).
Jeffrey Balduzzi, M.D. appears in the CMS NPPES registry as a Allergy Physician provider holding M.D. credentials at 4628 GEORGETOWN PL, Stockton, CA, 95207, with a listed phone of (209) 951-5353. NPI 1235405952 was issued on 03/27/2012.
Medicare Part D records for calendar year 2023 show 100 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $96K in drug spend, split 35% brand-name and 65% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.
Allergy Physician is a narrow specialty nationwide, with 1,019 enrolled providers across 49 states and an average of 755 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 | 1235405952 |
|---|---|
| Specialty | Allergy Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/27/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jeffrey Balduzzi, 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.
Allergy Immunology And Asthma Medical Group Inc
Stockton, CA
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 Jeffrey Balduzzi, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$946
Largest payer
GENZYME CORPORATION
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 Jeffrey Balduzzi, M.D.. To verify Jeffrey Balduzzi, 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.
Brand vs generic prescribing mix · Above average
Jeffrey Balduzzi, M.D. - brand share 35.0%
Allergy Physician average
35% brand-name claims vs 65% generic, on 100 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.
100
Total Claims
$96K
Total Drug Cost
25
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 161
- Total Day Supply
- 4,734
- Brand vs Generic
- 35% brand / 65% generic
- Brand Drug Cost
- $93K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jeffrey Balduzzi, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Xolair
Xolair
19 claims
- Azelastine Hcl
Azelastine Hcl
12 claims
- Ipratropium Bromide
Ipratropium Bromide
12 claims
- Trelegy Ellipta
Trelegy Ellipta
11 claims
| Drug | Claims |
|---|---|
| Xolair Omalizumab | 19 |
| Azelastine Hcl | 12 |
| Ipratropium Bromide | 12 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Allergy Physician Overview
How Jeffrey Balduzzi, M.D. fits within the Allergy Physician landscape nationally.
1,019
Allergy Physician Providers in US
49
States with Allergy Physician
755
Avg Claims per Provider
Jeffrey Balduzzi, M.D.'s 100 claims are below the specialty average of 755.
Nearby Allergy Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Balduzzi.
Dr. Shilpi Anand
M.D.
Walnut Creek, CA
Dr. Paula Ardron
MD
Bakersfield, CA
Dr. Tania Aung
M.D.
Vacaville, CA
Dr. Julia Bae
MD
Bakersfield, CA
Dr. Lori Banka
D.O.
Torrance, CA
Compare Allergy 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Allergy 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 Jeffrey Balduzzi, M.D.'s specialty? ▼
Jeffrey Balduzzi, M.D. specializes in Allergy Physician and practices in Stockton, California. Credentials: M.D..
How much does Jeffrey Balduzzi, M.D. prescribe under Medicare Part D? ▼
In 2023, Jeffrey Balduzzi, M.D. wrote 100 Medicare Part D claims totaling $96K in drug costs for 25 beneficiaries.
What is Jeffrey Balduzzi, M.D.'s Medicare quality score? ▼
Jeffrey Balduzzi, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jeffrey Balduzzi, M.D. located? ▼
Jeffrey Balduzzi, M.D. is located at 4628 GEORGETOWN PL, Stockton, CA, 95207. Phone: (209) 951-5353.
What is Jeffrey Balduzzi, M.D.'s NPI number? ▼
Jeffrey Balduzzi, M.D.'s National Provider Identifier (NPI) is 1235405952, issued on 03/27/2012.
Does Jeffrey Balduzzi, M.D. prescribe more brand-name or generic drugs? ▼
Jeffrey Balduzzi, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $93K in brand drug costs.
How many Allergy Physician providers are there in the US? ▼
There are 1,019 Allergy Physician providers across 49 states in the US. The average Allergy Physician provider writes 755 Medicare Part D claims per year.
What drugs does Jeffrey Balduzzi, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Jeffrey Balduzzi, M.D.'s most frequently prescribed drugs include Xolair, Azelastine Hcl, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeffrey Balduzzi, M.D. accept Medicare? ▼
Jeffrey Balduzzi, M.D. appears in CMS Medicare data with 100 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeffrey Balduzzi, M.D.'s credentials? ▼
Jeffrey Balduzzi, M.D.'s NPI is 1235405952 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.