2026 NPPES data Internal Medicine Physician NPI 1487650222 M.D.
Verify on CMS →

JOSEPH BALSAMO, M.D.

Internal Medicine Physician in GUILFORD, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
21K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.7483/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

JOSEPH BALSAMO, M.D. reported a CMS MIPS final score of 90.7483/100 — above the 83.1 national average — and filed 20,847 Medicare Part D claims in 2023.

90.7483/100
MIPS score · +8 vs avg
21K
Part D claims, 2023
83%
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.

JOSEPH BALSAMO, 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

91 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JOSEPH BALSAMO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 JOSEPH BALSAMO, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2005

NPI 1487650222

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

20,847 668% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

90.7483/100 7.648300000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Internal Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Internal Medicine Physician share within Connecticut

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Connecticut

Medicare quality performance — MIPS

JOSEPH BALSAMO, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.7483/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 90.7483/100 vs national avg 83.1

0%100%National avg83%90.7%
MIPS final score (Internal Medicine Physician) — 90.7483/100 vs national avg 83.1

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).

JOSEPH BALSAMO, M.D. is a Internal Medicine Physician provider practicing in GUILFORD, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1487650222. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSEPH BALSAMO, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1591 BOSTON POST RD STE 100, GUILFORD, CT, 06437, with a listed phone of (203) 932-6481. NPI 1487650222 was issued on 06/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALSAMO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 20,847 prescription claims written by this provider, covering 1,034 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.7483/100 for the 2023 performance year (Quality 82.2742, Cost 58.9275), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1591 BOSTON POST RD STE 100
GUILFORD, CT 06437

Provider Details

NPI 1487650222
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/27/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.7483
Final Score
Avg: 83.1
82.2742
Quality
58.9275
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH BALSAMO, 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.

HHC PHYSICIAN SERVICES PLLC
NEW HAVEN, CT
REHABILITATION ASSOCIATES INC
FAIRFIELD, CT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JOSEPH BALSAMO, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 20,847 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.

20,847
Total Claims
$1.7M
Total Drug Cost
1,034
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27,586
Total Day Supply
687,583
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$438K
Opioid Claims
297 (1.4% rate)
Antibiotic Claims
536

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
1.60
Gender Split
56% female / 44% male
Age Distribution
<65: 43, 65-74: 338, 75-84: 355, 85+: 298

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
924
Levothyroxine Sodium
810
Furosemide
784
Trazodone Hcl
708
Eliquis
Apixaban
701
Escitalopram Oxalate
580
Gabapentin
561
Metoprolol Tartrate
441
Amlodipine Besylate
419
Pantoprazole Sodium
411

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How JOSEPH BALSAMO, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JOSEPH BALSAMO, M.D.'s 20,847 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as BALSAMO.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH BALSAMO, M.D.'s specialty?
JOSEPH BALSAMO, M.D. specializes in Internal Medicine Physician and practices in GUILFORD, Connecticut. Credentials: M.D..
How much does JOSEPH BALSAMO, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH BALSAMO, M.D. wrote 20,847 Medicare Part D claims totaling $1.7M in drug costs for 1,034 beneficiaries.
What is JOSEPH BALSAMO, M.D.'s Medicare quality score?
JOSEPH BALSAMO, M.D. has a CMS MIPS Final Score of 90.7483/100 (Quality: 82.2742, Cost: 58.9275). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH BALSAMO, M.D. located?
JOSEPH BALSAMO, M.D. is located at 1591 BOSTON POST RD STE 100, GUILFORD, CT, 06437. Phone: (203) 932-6481.
What is JOSEPH BALSAMO, M.D.'s NPI number?
JOSEPH BALSAMO, M.D.'s National Provider Identifier (NPI) is 1487650222, issued on 06/27/2005.
Does JOSEPH BALSAMO, M.D. prescribe more brand-name or generic drugs?
JOSEPH BALSAMO, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.2M in brand drug costs.
Does JOSEPH BALSAMO, M.D. prescribe opioids?
Yes, JOSEPH BALSAMO, M.D. had 297 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JOSEPH BALSAMO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH BALSAMO, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH BALSAMO, M.D. accept Medicare?
JOSEPH BALSAMO, M.D. appears in CMS Medicare data with 20,847 Part D claims and 1,034 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH BALSAMO, M.D.'s credentials?
JOSEPH BALSAMO, M.D.'s NPI is 1487650222 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

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