2026 NPPES data Gerontology Nurse Practitioner NPI 1366067373
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LUKE BALMER

Gerontology Nurse Practitioner in RICHMOND, Virginia. 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
2K
Medicare Part D claims · 408 beneficiaries · Gerontology Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2306/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$832.2
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LUKE BALMER is a Gerontology Nurse Practitioner ([object Object]) practicing in RICHMOND, Virginia with a Medicare Part D prescribing footprint of 2K claims across 408 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 76.2306/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $832.2 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LUKE BALMER reported a CMS MIPS final score of 76.2306 out of 100, below the 83.1 national average, and filed 2,396 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LUKE BALMER at a glance

Below national average

NPI registry status

Active

Issued 06/15/2020

NPI 1366067373

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

2,396 87% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

76.2306/100 6.869399999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Gerontology Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Gerontology Nurse Practitioner share within Virginia

1. Gerontology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gerontology Nurse Practitioner share within Virginia

Medicare quality performance — MIPS

LUKE BALMER's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below national average
MIPS Final Score
76.2306/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gerontology Nurse Practitioner) — 76.2306/100 vs national avg 83.1

0%100%National avg83%76.2%
MIPS final score (Gerontology Nurse Practitioner) — 76.2306/100 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).

LUKE BALMER is a Gerontology Nurse Practitioner provider practicing in RICHMOND, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1366067373. 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.

LUKE BALMER appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider at 9000 STONY POINT PKWY, RICHMOND, VA, 23235, with a listed phone of (804) 828-2161. NPI 1366067373 was issued on 06/15/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALMER 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 2,396 prescription claims written by this provider, covering 408 Medicare beneficiaries and totaling roughly $412K in drug spend, split 14% brand-name and 86% 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 76.2306/100 for the 2023 performance year (Quality 64.5816, Cost 56.1869), compared with the national average of 83.1.

Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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

9000 STONY POINT PKWY
RICHMOND, VA 23235

Provider Details

NPI 1366067373
Specialty Gerontology Nurse Practitioner
Gender Male
NPI Issued 06/15/2020

CMS Quality Score (MIPS)

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

76.2306
Final Score
Avg: 83.1
64.5816
Quality
56.1869
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where LUKE BALMER 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.

MCV ASSOCIATED PHYSICIANS
RICHMOND, VA

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 LUKE BALMER. Source: openpaymentsdata.cms.gov.

Total received

$832

Largest payer

E.R. Squibb & Sons, L.L.C.

Most common payment type

Food and Beverage

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 · Typical

LUKE BALMER — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,396 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.

2,396
Total Claims
$412K
Total Drug Cost
408
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,035
Total Day Supply
179,685
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$358K
Generic Drug Cost
$54K

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.13
Gender Split
58% female / 42% male
Age Distribution
<65: 72, 65-74: 188, 75-84: 115, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
231
Metoprolol Succinate
213
Atorvastatin Calcium
179
Furosemide
151
Spironolactone
134
Rosuvastatin Calcium
130
Carvedilol
123
Ezetimibe
102
Losartan Potassium
96
Lisinopril
80

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

Gerontology Nurse Practitioner Overview

How LUKE BALMER fits within the Gerontology Nurse Practitioner landscape nationally.

9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider

LUKE BALMER's 2,396 claims are above the specialty average of 1,283.

Nearby Gerontology Nurse Practitioner Providers in Virginia

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

Compare Gerontology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUKE BALMER's specialty?
LUKE BALMER specializes in Gerontology Nurse Practitioner and practices in RICHMOND, Virginia.
How much does LUKE BALMER prescribe under Medicare Part D?
In 2023, LUKE BALMER wrote 2,396 Medicare Part D claims totaling $412K in drug costs for 408 beneficiaries.
What is LUKE BALMER's Medicare quality score?
LUKE BALMER has a CMS MIPS Final Score of 76.2306/100 (Quality: 64.5816, Cost: 56.1869). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LUKE BALMER located?
LUKE BALMER is located at 9000 STONY POINT PKWY, RICHMOND, VA, 23235. Phone: (804) 828-2161.
What is LUKE BALMER's NPI number?
LUKE BALMER's National Provider Identifier (NPI) is 1366067373, issued on 06/15/2020.
Does LUKE BALMER prescribe more brand-name or generic drugs?
LUKE BALMER's prescribing is 14% brand-name and 86% generic drugs by claim count, with $358K in brand drug costs.
How many Gerontology Nurse Practitioner providers are there in the US?
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does LUKE BALMER prescribe most often?
Based on 2023 Medicare Part D data, LUKE BALMER's most frequently prescribed drugs include Amlodipine Besylate, Metoprolol Succinate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUKE BALMER accept Medicare?
LUKE BALMER appears in CMS Medicare data with 2,396 Part D claims and 408 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUKE BALMER's credentials?
LUKE BALMER's NPI is 1366067373. 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