NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1740241645 MD
Verify on CMS → John Balthrop, MD
Orthopaedic Surgery Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic Surgery 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.
MIPS score
75/100
CMS neutral threshold · no category scores published
What the federal data shows
John Balthrop, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored.
- 75/100
- CMS neutral score · not measured
- Likely
- board-certified (heuristic)
- #50
- Orthopaedic Surgery Physician rank among Kentucky specialties
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.
Federal trust snapshot
What official records show about John Balthrop, MD
Federal registry listing with board-eligibility signals — verify credentials with the state medical board before clinical decisions.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1740241645), first enumerated 03/30/2006.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1740241645 · Orthopaedic Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · BOOK-THIN · PHOTO-ENUM
- NPI-10 1740241645
- ENUM-LEGACY 2006
- TAX-MID 26K Orthopaedic Surgery
- MIPS-NEUTRAL 75/100
- BOOK-THIN 341 in Kentucky
- PHOTO-ENUM Michael Freeman · 2006
✓
Board certification likely (heuristic, not verified)
John Balthrop, MD 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).
What does the federal data show about John Balthrop, MD?
CMS neutral score, not measuredPrimary specialty
Orthopaedic Surgery Physician
MIPS final score
75/100
Specialty distribution in Kentucky
How Orthopaedic Surgery Physician compares to other specialties among Kentucky providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1740241645 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Orthopaedic Surgery Physician Overview
How John Balthrop, MD fits within the Orthopaedic Surgery Physician landscape nationally.
26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider
Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Balthrop, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Orthopaedic Surgery Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Balthrop.
One of 341 Orthopaedic Surgery Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Moses Adebayo
MD
Pikeville, KY
Dr. Nicholas Ahn
MD
Louisville, KY
Dr. Gordon Air
MD
Edgewood, KY
Dr. George Aitken
MD
Ashland, KY
Dr. James Akin
MD
Prospect, KY
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Balthrop, MD's specialty? ▼
John Balthrop, MD specializes in Orthopaedic Surgery Physician and practices in Lexington, Kentucky. Credentials: MD.
What is John Balthrop, MD's Medicare quality score? ▼
John Balthrop, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Balthrop, MD located? ▼
John Balthrop, MD is located at 3480 YORKSHIRE MEDICAL PARK, Lexington, KY, 40509. Phone: (859) 263-5140.
What is John Balthrop, MD's NPI number? ▼
John Balthrop, MD's National Provider Identifier (NPI) is 1740241645, issued on 03/30/2006.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
Does John Balthrop, MD accept Medicare? ▼
John Balthrop, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Balthrop, MD's credentials? ▼
John Balthrop, MD's NPI is 1740241645 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.
- 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 August 2026 (NPPES) / 2024 (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
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 August 2026.