NPPES file of Aug 9, 2026

Luke Hodgson Balsamo, MD

Orthopaedic Surgery Physician · Portsmouth, VA

Luke Hodgson Balsamo, MD is an orthopaedic surgery physician with a practice address in Portsmouth, Virginia, and NPI 1952477317, issued on Nov 28, 2006. Check the license (Virginia 0101102569, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1952477317
Name
Luke Hodgson Balsamo
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
0101102569 VA
Self-reported in NPPES; status is on the state search
Practice location
620 John Paul Jones Cir, Portsmouth, VA 23708
Phone
(757) 953-1814
Enumerated
Nov 28, 2006
Record last updated
Nov 2, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(757) 953-5490
Medicare enrollment
Enrolled (PECOS I20131120001116); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 620 John Paul Jones Cir

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Aalto, DPMFoot & Ankle Surgery Podiatrist1518196054
  2. Joy Aaron, RNRegistered Nurse1083765911
  3. Mark Abadilla, CRNACertified Registered Nurse Anesthetist1447135793
  4. Jason Abbot, PHARMDPharmacotherapy Pharmacist1215907324
  5. Renee AbernathyStudent in an Organized Health Care Education/Training Program1124969670
  6. Vivek Abraham, MDStudent in an Organized Health Care Education/Training Program1942829494

Verify Luke Hodgson Balsamo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101102569
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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73% more Medicare Part D claims than the average orthopaedic surgery physician in 2024

600 Medicare Part D claims for 205 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 90 claims were for opioids.

  1. Luke Balsamo600
  2. Specialty average346

Most prescribed

  1. Meloxicam413 claims
  2. Oxycodone Hcl45 claims
  3. Gabapentin30 claims
  4. Tramadol Hcl25 claims
  5. Amoxicillin19 claims
  6. Celecoxib12 claims

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 practice group's MIPS final score for 2023 (Medicare payment program): 92 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costout of 100 · 30%84.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $65.34

3 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Luke Balsamo$65
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Vann-Virginia Center For Orthopaedics PCNorfolk, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Luke Hodgson Balsamo among 586 orthopaedic surgery physician records in Virginia

Luke Hodgson Balsamo, MD is one of 586 orthopaedic surgery physician records with a practice address in Virginia. 72% 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 13% of them.

  • NPI issued2006 · 13% of these records are older, 45% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2006 · median 2003 among the 358 with a school on file
  • Record last updated2018 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Virginia

There are 586 orthopaedic surgery physician records in Virginia.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. George Balazs, MDPortsmouth, VA 237081841497625
  2. Thomas Cullison, MDPortsmouth, VA 237081306807003
  3. Ann Gietler, M.DPortsmouth, VA 237081255458360
  4. James Hammond, DO, ATCPortsmouth, VA 237081083796668
  5. Shannon Lorimer, D.O.Portsmouth, VA 237081942511175
  6. Austin Nabet, D.O.Portsmouth, VA 237081891034393
  7. Kevin Pinkos, D.O.Portsmouth, VA 237081295898740
  8. Craig Randall, M.D.Portsmouth, VA 237081396710034

Common questions

What is Luke Hodgson Balsamo, MD's NPI number?

Luke Hodgson Balsamo, MD's National Provider Identifier (NPI) is 1952477317, issued on Nov 28, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Luke Hodgson Balsamo, MD located?

The NPPES record lists a practice address at 620 John Paul Jones Cir, Portsmouth, VA, 23708. Phone: (757) 953-1814. Providers update this record themselves, so call before visiting.

How can I verify Luke Hodgson Balsamo, MD's license?

NPPES lists Virginia license number 0101102569, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Luke Hodgson Balsamo, MD prescribe under Medicare Part D?

In 2024, Luke Hodgson Balsamo, MD had 600 Medicare Part D claims for 205 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Luke Hodgson Balsamo, MD's MIPS final score?

The 2023 MIPS final score is 92 of 100, reported for the practice group. 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.