2026 NPPES data Specialist NPI 1215034335 M.D.
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PAUL BLACHARSKI, M.D.

Specialist in MENIFEE, California. 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
292
Medicare Part D claims · 108 beneficiaries · Specialist avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6659/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$453.25
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL BLACHARSKI, M.D. reported a CMS MIPS final score of 94.6659/100 — above the 83.1 national average — and filed 292 Medicare Part D claims in 2023.

94.6659/100
MIPS score · +12 vs avg
292
Part D claims, 2023
49%
generic prescribing
$453.25
industry payments (Sunshine Act)

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.

PAUL BLACHARSKI, 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

95 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about PAUL BLACHARSKI, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/20/2006

NPI 1215034335

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

292 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

94.6659/100 11.5659% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Specialist compares to other specialties among California providers

California providers

Specialist share within California

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

Medicare quality performance — MIPS

PAUL BLACHARSKI, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
94.6659/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 94.6659/100 vs national avg 83.1

0%100%National avg83%94.7%
MIPS final score (Specialist) — 94.6659/100 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).

PAUL BLACHARSKI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 29798 HAUN RD, MENIFEE, CA, 92586, with a listed phone of (951) 679-0400. NPI 1215034335 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLACHARSKI 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 292 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $22K in drug spend, split 51% brand-name and 49% 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 94.6659/100 for the 2023 performance year (Quality 84.83, Cost 74.331), 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

29798 HAUN RD
MENIFEE, CA 92586

Provider Details

NPI 1215034335
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 09/20/2006

CMS Quality Score (MIPS)

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

94.6659
Final Score
Avg: 83.1
84.83
Quality
74.331
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL BLACHARSKI, 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.

INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC
TEMECULA, CA

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 PAUL BLACHARSKI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$453

Largest payer

Optos, Inc.

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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to PAUL BLACHARSKI, M.D.. To verify PAUL BLACHARSKI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

PAUL BLACHARSKI, M.D. — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 292 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.

292
Total Claims
$22K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
386
Total Day Supply
10,188
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$17K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
2.36
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

What PAUL BLACHARSKI, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
77
Prednisolone Acetate
74
Moxifloxacin
Moxifloxacin Hcl
37
Ofloxacin
21
Timolol Maleate
13
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
12

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

Specialist Overview

How PAUL BLACHARSKI, M.D. fits within the Specialist landscape nationally.

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

PAUL BLACHARSKI, M.D.'s 292 claims are below the specialty average of 1,474.

Nearby Specialist Providers in California

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

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

Frequently Asked Questions

What is PAUL BLACHARSKI, M.D.'s specialty?
PAUL BLACHARSKI, M.D. specializes in Specialist and practices in MENIFEE, California. Credentials: M.D..
How much does PAUL BLACHARSKI, M.D. prescribe under Medicare Part D?
In 2023, PAUL BLACHARSKI, M.D. wrote 292 Medicare Part D claims totaling $22K in drug costs for 108 beneficiaries.
What is PAUL BLACHARSKI, M.D.'s Medicare quality score?
PAUL BLACHARSKI, M.D. has a CMS MIPS Final Score of 94.6659/100 (Quality: 84.83, Cost: 74.331). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL BLACHARSKI, M.D. located?
PAUL BLACHARSKI, M.D. is located at 29798 HAUN RD, MENIFEE, CA, 92586. Phone: (951) 679-0400.
What is PAUL BLACHARSKI, M.D.'s NPI number?
PAUL BLACHARSKI, M.D.'s National Provider Identifier (NPI) is 1215034335, issued on 09/20/2006.
Does PAUL BLACHARSKI, M.D. prescribe more brand-name or generic drugs?
PAUL BLACHARSKI, M.D.'s prescribing is 51% brand-name and 49% generic drugs by claim count, with $17K in brand drug costs.
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 PAUL BLACHARSKI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL BLACHARSKI, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL BLACHARSKI, M.D. accept Medicare?
PAUL BLACHARSKI, M.D. appears in CMS Medicare data with 292 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BLACHARSKI, M.D.'s credentials?
PAUL BLACHARSKI, M.D.'s NPI is 1215034335 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