2026 NPPES data Cardiovascular Disease Physician NPI 1700809571 MD
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NICHOLAS BALAJI, MD

Cardiovascular Disease Physician in ANNANDALE, 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
1K
Medicare Part D claims · 221 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.283/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$321.52
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICHOLAS BALAJI, MD is a Cardiovascular Disease Physician ([object Object]) practicing in ANNANDALE, Virginia with a Medicare Part D prescribing footprint of 1K claims across 221 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 81.283/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $321.52 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICHOLAS BALAJI, MD reported a CMS MIPS final score of 81.283 out of 100, below the 83.1 national average, and filed 1,386 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NICHOLAS BALAJI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NICHOLAS BALAJI, MD at a glance

Near national average

NPI registry status

Active

Issued 07/25/2006

NPI 1700809571

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,386 54% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

81.283/100 1.816999999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Cardiovascular Disease Physician compares to other specialties among Virginia providers

Virginia providers

Cardiovascular Disease Physician share within Virginia

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Virginia

Medicare quality performance — MIPS

NICHOLAS BALAJI, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Near national average
MIPS Final Score
81.283/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 81.283/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Cardiovascular Disease Physician) — 81.283/100 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).

NICHOLAS BALAJI, MD is a Cardiovascular Disease Physician provider practicing in ANNANDALE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1700809571. 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.

NICHOLAS BALAJI, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 3301 WOODBURN RD, ANNANDALE, VA, 22003, with a listed phone of (703) 204-9301. NPI 1700809571 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALAJI 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 1,386 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $244K in drug spend, split 10% brand-name and 90% 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 81.283/100 for the 2023 performance year (Quality 70.77, Cost 66.84), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

3301 WOODBURN RD
ANNANDALE, VA 22003

Provider Details

NPI 1700809571
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 07/25/2006

CMS Quality Score (MIPS)

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

81.283
Final Score
Avg: 83.1
70.77
Quality
66.84
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICHOLAS BALAJI, 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.

INOVA HEALTH CARE SERVICES
GAINESVILLE, 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 NICHOLAS BALAJI, MD. Source: openpaymentsdata.cms.gov.

Total received

$322

Largest payer

Teleflex LLC

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

NICHOLAS BALAJI, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,386 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.

1,386
Total Claims
$244K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,747
Total Day Supply
111,682
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$211K
Generic Drug Cost
$33K

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.43
Gender Split
39% female / 61% male

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
206
Carvedilol
101
Spironolactone
85
Metoprolol Succinate
84
Amlodipine Besylate
83
Losartan Potassium
83
Rosuvastatin Calcium
82
Bisoprolol Fumarate
77
Valsartan
53
Eliquis
Apixaban
51

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

Cardiovascular Disease Physician Overview

How NICHOLAS BALAJI, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

NICHOLAS BALAJI, MD's 1,386 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Virginia

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICHOLAS BALAJI, MD's specialty?
NICHOLAS BALAJI, MD specializes in Cardiovascular Disease Physician and practices in ANNANDALE, Virginia. Credentials: MD.
How much does NICHOLAS BALAJI, MD prescribe under Medicare Part D?
In 2023, NICHOLAS BALAJI, MD wrote 1,386 Medicare Part D claims totaling $244K in drug costs for 221 beneficiaries.
What is NICHOLAS BALAJI, MD's Medicare quality score?
NICHOLAS BALAJI, MD has a CMS MIPS Final Score of 81.283/100 (Quality: 70.77, Cost: 66.84). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICHOLAS BALAJI, MD located?
NICHOLAS BALAJI, MD is located at 3301 WOODBURN RD, ANNANDALE, VA, 22003. Phone: (703) 204-9301.
What is NICHOLAS BALAJI, MD's NPI number?
NICHOLAS BALAJI, MD's National Provider Identifier (NPI) is 1700809571, issued on 07/25/2006.
Does NICHOLAS BALAJI, MD prescribe more brand-name or generic drugs?
NICHOLAS BALAJI, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $211K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does NICHOLAS BALAJI, MD prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS BALAJI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Carvedilol, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS BALAJI, MD accept Medicare?
NICHOLAS BALAJI, MD appears in CMS Medicare data with 1,386 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS BALAJI, MD's credentials?
NICHOLAS BALAJI, MD's NPI is 1700809571 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