Jorge M. Balaguer, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Stony Brook, NY
Jorge M. Balaguer, M.D. is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Stony Brook, New York, and NPI 1649218934, issued on Jun 2, 2006. Check the license on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Jorge M. Balaguer
- Credential
- M.D.
- Primary taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License numbers
- MD39371 TN
152790 MA
Self-reported in NPPES; status is on the state search - Practice location
- 101 Nicolls RD RM 80, Stony Brook, NY 11794
- Phone
- (631) 444-1820
- Enumerated
- Jun 2, 2006
- Record last updated
- Aug 26, 2019 (not updated in 7 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest thoracic surgery (cardiothoracic vascular surgery) physician records → All 446 in New York → Look up another NPI →
Also registered at 101 Nicolls RD RM 80
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mohsen Ahmed, MDStudent in an Organized Health Care Education/Training Program1821785890
- Jonathan Deassis, MDEmergency Medicine Physician1689178980
- Wei Li, MDEmergency Medicine Physician1467957423
- Alexandria Lucas, PA-CPhysician Assistant1376161620
- Somair Malik, MD/MBACritical Care Medicine (Internal Medicine) Physician1427581271
Verify Jorge M. Balaguer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the ProfessionsCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
62% fewer Medicare Part D claims than the average thoracic surgery (cardiothoracic vascular surgery) physician in 2024
38 Medicare Part D claims, against an average of 101 among the 2,587 providers of this specialty who prescribed in Part D.
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): 98.5 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: $237.63
8 payments; by number, the most common kind was food and beverage; the largest payer was Abiomed. The 4,047 providers of this specialty with any payment received $7,828.84 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.
Jorge M. Balaguer among 446 thoracic surgery (cardiothoracic vascular surgery) physician records in New York
Jorge M. Balaguer, M.D. is one of 446 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in New York. 75% 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 16% of them.
- NPI issued2006 · 16% of these records are older, 50% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 66% of these records are
- Record last updated2019 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in New York
There are 446 thoracic surgery (cardiothoracic vascular surgery) physician records in New York.
All 446 in New York → Every provider in Stony Brook → Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationwide →
The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes
- Ankit Dhamija, MDStony Brook, NY 117941831454354
- Harold Fernandez, M.D.Stony Brook, NY 117941720196546
- Sivaveera KandasamyStony Brook, NY 117941851788954
- Allison McLarty, M.D.Stony Brook, NY 117941376562769
- Jonathan Price, MDStony Brook, NY 117941295096527
- Frank Seifert, M.D.Stony Brook, NY 117941134148901
- Vinay Tak, MD, FRCS(ED), FACSStony Brook, NY 117941083694541
- James Taylor, M.D.Stony Brook, NY 117941083722896
Common questions
What is Jorge M. Balaguer, M.D.'s NPI number?
Jorge M. Balaguer, M.D.'s National Provider Identifier (NPI) is 1649218934, issued on Jun 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jorge M. Balaguer, M.D. located?
The NPPES record lists a practice address at 101 Nicolls RD RM 80, Stony Brook, NY, 11794. Phone: (631) 444-1820. Providers update this record themselves, so call before visiting.
How can I verify Jorge M. Balaguer, M.D.'s license?
Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jorge M. Balaguer, M.D. prescribe under Medicare Part D?
In 2024, Jorge M. Balaguer, M.D. had 38 Medicare Part D claims; the average among thoracic surgery (cardiothoracic vascular surgery) physician prescribers was 101. Part D covers Medicare prescriptions only.
What is Jorge M. Balaguer, M.D.'s MIPS final score?
The 2023 MIPS final score is 98.5 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.