NPI registry status
Active
2026 NPPES data Acute Care Nurse Practitioner NPI 1154675122
Verify on CMS → Jennifer Balingcongan
Acute Care Nurse Practitioner in Columbus, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,583 in Acute Care Nurse Practitioner, 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
112
Medicare Part D claims · 73 beneficiaries · Acute Care Nurse Practitioner avg: 576
MIPS score
81.3/100
▼ 2 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jennifer Balingcongan reported a CMS MIPS final score of 81.3/100 - below the 83.1 national average - and filed 112 Medicare Part D claims in 2023.
- 81.3/100
- MIPS score · -2 vs avg
- 112
- Part D claims, 2023
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.
Jennifer Balingcongan's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% 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 Jennifer Balingcongan sits
This provider among acute care nurse practitioner peers
Across the 3,864 acute care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Jennifer Balingcongan writes more Part D claims than 39% of them and scores higher on MIPS quality than 33% - placing this provider in the lower-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
Each dot is one acute care nurse practitioner peer from a representative sample of 60; the gold marker is Jennifer Balingcongan. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Jennifer Balingcongan?
Near national averagePrimary specialty
Acute Care Nurse Practitioner
Medicare Part D claims
112 81% vs specialty avg
MIPS final score
81.3/100 1.8 pts vs avg
Specialty distribution in Ohio
How Acute Care Nurse Practitioner compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Jennifer Balingcongan's 2023 MIPS final score plotted against the Acute Care Nurse Practitioner national average
- MIPS Final Score
- 81.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Acute Care Nurse Practitioner) - 81.3/100 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).
Jennifer Balingcongan appears in the CMS NPPES registry as a Acute Care Nurse Practitioner provider at 111 S GRANT AVE, Columbus, OH, 43215, with a listed phone of (614) 566-8648. NPI 1154675122 was issued on 10/30/2012.
Medicare Part D records for calendar year 2023 show 112 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 55.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.3/100 for the 2023 performance year (Quality 73.6, Cost 65.8), compared with the national average of 83.1.
Acute Care Nurse Practitioner is a mid-sized specialty nationwide, with 24,583 enrolled providers across 53 states and an average of 576 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 | 1154675122 |
|---|---|
| Specialty | Acute Care Nurse Practitioner |
| Gender | Female |
| NPI Issued | 10/30/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.3083
Final Score
Avg: 83.1
73.5834
Quality
65.7777
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jennifer Balingcongan 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.
Ohiohealth Corporation
Columbus, OH
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Jennifer Balingcongan. To verify Jennifer Balingcongan's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio 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.
112
Total Claims
$2K
Total Drug Cost
73
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 112
- Total Day Supply
- 997
- Generic Drug Cost
- $736
- Opioid Claims
- 62 (55.4% rate)
Patient Demographics
- Average Patient Age
- 64.2 years
- Avg HCC Risk Score
- 1.99
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 31, 65-74: 25, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 54 |
| Methocarbamol | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Acute Care Nurse Practitioner Overview
How Jennifer Balingcongan fits within the Acute Care Nurse Practitioner landscape nationally.
24,583
Acute Care Nurse Practitioner Providers in US
53
States with Acute Care Nurse Practitioner
576
Avg Claims per Provider
Jennifer Balingcongan's 112 claims are below the specialty average of 576.
Nearby Acute Care Nurse Practitioner Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Balingcongan.
Dr. Elizabeth Ababovic
CPNP-AC
Columbus, OH
Dr. Donna Abdelnour
CNP
Cincinnati, OH
Dr. Walter Abood
CNP
Cuyahoga Falls, OH
Dr. Sammy Abukwiek
APRN-CNP
Columbus, OH
Dr. Pamela Acopine
MS RN ACNP
Dayton, OH
Compare Acute Care Nurse Practitioner 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Acute Care Nurse Practitioner 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
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Explore Ohio
Frequently Asked Questions
What is Jennifer Balingcongan's specialty? ▼
Jennifer Balingcongan specializes in Acute Care Nurse Practitioner and practices in Columbus, Ohio.
How much does Jennifer Balingcongan prescribe under Medicare Part D? ▼
In 2023, Jennifer Balingcongan wrote 112 Medicare Part D claims totaling $2K in drug costs for 73 beneficiaries.
What is Jennifer Balingcongan's Medicare quality score? ▼
Jennifer Balingcongan has a CMS MIPS Final Score of 81.3/100 (Quality: 73.6, Cost: 65.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jennifer Balingcongan located? ▼
Jennifer Balingcongan is located at 111 S GRANT AVE, Columbus, OH, 43215. Phone: (614) 566-8648.
What is Jennifer Balingcongan's NPI number? ▼
Jennifer Balingcongan's National Provider Identifier (NPI) is 1154675122, issued on 10/30/2012.
Does Jennifer Balingcongan prescribe opioids? ▼
Yes, Jennifer Balingcongan had 62 opioid claims in 2023 with an opioid prescribing rate of 55.4%.
How many Acute Care Nurse Practitioner providers are there in the US? ▼
There are 24,583 Acute Care Nurse Practitioner providers across 53 states in the US. The average Acute Care Nurse Practitioner provider writes 576 Medicare Part D claims per year.
What drugs does Jennifer Balingcongan prescribe most often? ▼
Based on 2023 Medicare Part D data, Jennifer Balingcongan's most frequently prescribed drugs include Oxycodone Hcl, Methocarbamol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jennifer Balingcongan accept Medicare? ▼
Jennifer Balingcongan appears in CMS Medicare data with 112 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jennifer Balingcongan's credentials? ▼
Jennifer Balingcongan's NPI is 1154675122. 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.