Philip J. Balikian, M.D.
Orthopaedic Surgery Physician · Poway, CA
Philip J. Balikian, M.D. is an orthopaedic surgery physician with a practice address in Poway, California, and NPI 1407803687, issued on May 31, 2006. Check the license on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Philip J. Balikian
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 35679 KY
Self-reported in NPPES; status is on the state search - Practice location
- 15611 Pomerado RD, Poway, CA 92064
- Phone
- (858) 613-8900
- Enumerated
- May 31, 2006
- Record last updated
- Mar 6, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicaid ID
- 64016215 KY
- Medicare enrollment
- Enrolled (PECOS I20070201000657); accepts Medicare assignment
- Medical or professional school
- University Of Massachusetts Medical School, 1994
- Entity
- Type 1 · individual
Also registered at 15611 Pomerado RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sharon Adler, CFNPNurse Practitioner1912973215
- Hedieh Badkoobehi, M.D.Adult Medicine Physician1689708695
- Janice Baker, R.D. CDERegistered Dietitian1295815025
- Victoria Boyle, F.N.PFamily Medicine Physician1467483685
- Jerome Brodkin, MDInternal Medicine Physician1518933878
- David Carty, MDInternal Medicine Physician1205802568
Verify Philip J. Balikian in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of CaliforniaCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
46% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
188 Medicare Part D claims for 74 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 63 claims were for opioids.
Most prescribed
- Oxycodone-Acetaminophen56 claims
- Cephalexin46 claims
- Celecoxib28 claims
- Ibuprofen18 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 MIPS final score for 2023 (Medicare payment program): 80.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $191.75
7 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. 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.
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
- Arch Health Partners IncPoway, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Orthopaedic Surgery Physician providers in California
There are 2,276 orthopaedic surgery physician records in California.
Other orthopaedic surgery physician records in California
- Karim Abdollahi, M.D.Laguna Beach, CA1942240403
- Michael Abdulian, MDGlendale, CA1649469628
- Hussein Abdulrassoul, MDRiverside, CA1972123891
- Douglas Abeles, MDCastro Valley, CA1508961582
- Anthony Abene, MDSan Jose, CA1457437964
- Torgom Abraamyan, M.D.Van Nuys, CA1013370410
- Monther AbuhantashSan Francisco, CA1447041512
- Joshua Acebo, MDPalo Alto, CA1396373734
- Daniel Acevedo, M.D.Thousand Oaks, CA1184856122
- John Adams, MDLos Angeles, CA1215914114
Common questions
What is Philip J. Balikian, M.D.'s NPI number?
Philip J. Balikian, M.D.'s National Provider Identifier (NPI) is 1407803687, issued on May 31, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Philip J. Balikian, M.D. located?
The NPPES record lists a practice address at 15611 Pomerado RD, Poway, CA, 92064. Phone: (858) 613-8900. Providers update this record themselves, so call before visiting.
How can I verify Philip J. Balikian, M.D.'s license?
Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Philip J. Balikian, M.D. prescribe under Medicare Part D?
In 2024, Philip J. Balikian, M.D. had 188 Medicare Part D claims for 74 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Philip J. Balikian, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.2 of 100. 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.