2026 NPPES data Hematology & Oncology Physician NPI 1093017253 M.D.
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KAMALESH BALA, M.D.

Hematology & Oncology Physician in FAYETTEVILLE, North Carolina. 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
70
Medicare Part D claims · 28 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.7267/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$643.34
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAMALESH BALA, M.D. reported a CMS MIPS final score of 72.7267/100 — below the 83.1 national average — and filed 70 Medicare Part D claims in 2023.

72.7267/100
MIPS score · -10 vs avg
70
Part D claims, 2023
59%
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.

KAMALESH BALA, 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

73 10th percentile higher than 10% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

KAMALESH BALA, 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 KAMALESH BALA, M.D.?

Below national average

NPI registry status

Active

Issued 11/21/2010

NPI 1093017253

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

70 92% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

72.7267/100 10.3733% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in North Carolina

How Hematology & Oncology Physician compares to other specialties among North Carolina providers

North Carolina providers

Hematology & Oncology Physician share within North Carolina

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within North Carolina

Medicare quality performance — MIPS

KAMALESH BALA, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Below national average
MIPS Final Score
72.7267/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 72.7267/100 vs national avg 83.1

0%100%National avg83%72.7%
MIPS final score (Hematology & Oncology Physician) — 72.7267/100 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).

KAMALESH BALA, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 6387 RAMSEY ST UNIT 140, FAYETTEVILLE, NC, 28311, with a listed phone of (910) 615-3840. NPI 1093017253 was issued on 11/21/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALA 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 70 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $431K in drug spend, split 41% brand-name and 59% generic by claim count. 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 72.7267/100 for the 2023 performance year (Quality 60.9806, Cost 48.1086), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC 28311

Provider Details

NPI 1093017253
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 11/21/2010

CMS Quality Score (MIPS)

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

72.7267
Final Score
Avg: 83.1
60.9806
Quality
48.1086
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAMALESH BALA, 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.

BENEFIS HOSPITALS INC
★★☆☆☆ 2/5
GREAT FALLS, MT
Acute Care Hospitals
CMS CCN: 270012
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
FAYETTEVILLE, NC

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 KAMALESH BALA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$643

Largest payer

Daiichi Sankyo Inc.

Most common payment type

Consulting Fee

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.

Brand vs generic prescribing mix · Above average

KAMALESH BALA, M.D. — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 70 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.

70
Total Claims
$431K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
122
Total Day Supply
3,621
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$430K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.60

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
24

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

Hematology & Oncology Physician Overview

How KAMALESH BALA, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

KAMALESH BALA, M.D.'s 70 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BALA.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAMALESH BALA, M.D.'s specialty?
KAMALESH BALA, M.D. specializes in Hematology & Oncology Physician and practices in FAYETTEVILLE, North Carolina. Credentials: M.D..
How much does KAMALESH BALA, M.D. prescribe under Medicare Part D?
In 2023, KAMALESH BALA, M.D. wrote 70 Medicare Part D claims totaling $431K in drug costs for 28 beneficiaries.
What is KAMALESH BALA, M.D.'s Medicare quality score?
KAMALESH BALA, M.D. has a CMS MIPS Final Score of 72.7267/100 (Quality: 60.9806, Cost: 48.1086). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAMALESH BALA, M.D. located?
KAMALESH BALA, M.D. is located at 6387 RAMSEY ST UNIT 140, FAYETTEVILLE, NC, 28311. Phone: (910) 615-3840.
What is KAMALESH BALA, M.D.'s NPI number?
KAMALESH BALA, M.D.'s National Provider Identifier (NPI) is 1093017253, issued on 11/21/2010.
Does KAMALESH BALA, M.D. prescribe more brand-name or generic drugs?
KAMALESH BALA, M.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $430K in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does KAMALESH BALA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAMALESH BALA, M.D.'s most frequently prescribed drugs include Anastrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAMALESH BALA, M.D. accept Medicare?
KAMALESH BALA, M.D. appears in CMS Medicare data with 70 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAMALESH BALA, M.D.'s credentials?
KAMALESH BALA, M.D.'s NPI is 1093017253 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