2026 NPPES data Specialist NPI 1457594079 MD
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MANISHA BALHARA, MD

Specialist in FARGO, North Dakota. 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
1K
Medicare Part D claims · 150 beneficiaries · Specialist avg: 1K
MIPS score
82.9973/100
▼ 0 pts below national avg 83.1 · [object Object]
What the federal data reveals: MANISHA BALHARA, MD is a Specialist ([object Object]) practicing in FARGO, North Dakota with a Medicare Part D prescribing footprint of 1K claims across 150 beneficiaries . Their CMS MIPS Final Score of 82.9973/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MANISHA BALHARA, MD reported a CMS MIPS final score of 82.9973 out of 100, below the 83.1 national average, and filed 1,141 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MANISHA BALHARA, MD at a glance

Near national average

NPI registry status

Active

Issued 04/13/2009

NPI 1457594079

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,141 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

82.9973/100 0.10269999999999868% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Specialist compares to other specialties among North Dakota providers

North Dakota providers

Specialist share within North Dakota

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Dakota

Medicare quality performance — MIPS

MANISHA BALHARA, MD's 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
82.9973/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 82.9973/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Specialist) — 82.9973/100 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).

MANISHA BALHARA, MD is a Specialist provider practicing in FARGO, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1457594079. 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.

MANISHA BALHARA, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 2400 32ND AVENUE S, FARGO, ND, 58122, with a listed phone of (701) 234-8820. NPI 1457594079 was issued on 04/13/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALHARA 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 1,141 prescription claims written by this provider, covering 150 Medicare beneficiaries and totaling roughly $38K in drug spend, with an opioid prescribing rate of 2.5%. 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 82.9973/100 for the 2023 performance year (Quality 87.0681, Cost 57.0897), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

2400 32ND AVENUE S
FARGO, ND 58122

Provider Details

NPI 1457594079
Specialty Specialist
Credentials MD
Gender Female
NPI Issued 04/13/2009

CMS Quality Score (MIPS)

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

82.9973
Final Score
Avg: 83.1
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MANISHA BALHARA, MD 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.

SANFORD MEDICAL CENTER FARGO
★★★★☆ 4/5
FARGO, ND
Acute Care Hospitals
CMS CCN: 350011

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,141
Total Claims
$38K
Total Drug Cost
150
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,197
Total Day Supply
21,399
Generic Drug Cost
$13K
Opioid Claims
28 (2.5% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
2.41
Gender Split
49% female / 51% male
Age Distribution
<65: 22, 65-74: 55, 75-84: 40, 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
Furosemide
103
Atorvastatin Calcium
77
Omeprazole
52
Metoprolol Succinate
50
Amlodipine Besylate
40
Clopidogrel
Clopidogrel Bisulfate
40
Losartan Potassium
33
Tamsulosin Hcl
31
Donepezil Hcl
30
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
28

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

Specialist Overview

How MANISHA BALHARA, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MANISHA BALHARA, MD's 1,141 claims are below the specialty average of 1,474.

Nearby Specialist Providers in North Dakota

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MANISHA BALHARA, MD's specialty?
MANISHA BALHARA, MD specializes in Specialist and practices in FARGO, North Dakota. Credentials: MD.
How much does MANISHA BALHARA, MD prescribe under Medicare Part D?
In 2023, MANISHA BALHARA, MD wrote 1,141 Medicare Part D claims totaling $38K in drug costs for 150 beneficiaries.
What is MANISHA BALHARA, MD's Medicare quality score?
MANISHA BALHARA, MD has a CMS MIPS Final Score of 82.9973/100 (Quality: 87.0681, Cost: 57.0897). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MANISHA BALHARA, MD located?
MANISHA BALHARA, MD is located at 2400 32ND AVENUE S, FARGO, ND, 58122. Phone: (701) 234-8820.
What is MANISHA BALHARA, MD's NPI number?
MANISHA BALHARA, MD's National Provider Identifier (NPI) is 1457594079, issued on 04/13/2009.
Does MANISHA BALHARA, MD prescribe opioids?
Yes, MANISHA BALHARA, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does MANISHA BALHARA, MD prescribe most often?
Based on 2023 Medicare Part D data, MANISHA BALHARA, MD's most frequently prescribed drugs include Furosemide, Atorvastatin Calcium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MANISHA BALHARA, MD accept Medicare?
MANISHA BALHARA, MD appears in CMS Medicare data with 1,141 Part D claims and 150 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MANISHA BALHARA, MD's credentials?
MANISHA BALHARA, MD's NPI is 1457594079 with credentials MD. 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