NPI registry status
Active
2026 NPPES data Integrative Medicine Physician NPI 1972894921 M.D.
Verify on CMS → Raphael Balbino, M.D.
Integrative Medicine Physician in Jacksonville, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 155 in Integrative Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
903
Medicare Part D claims · 85 beneficiaries · Integrative Medicine Physician avg: 800
MIPS score
91.6/100
▲ 8 pts above national avg 83.5 · Exceptional
Industry payments
$16.79
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Raphael Balbino, M.D. reported a CMS MIPS final score of 91.6/100 - above the 83.5 national average - and filed 903 Medicare Part D claims in 2024.
- 91.6/100
- MIPS score · +8 vs avg
- 903
- Part D claims, 2024
- $16.79
- industry payments (Sunshine Act)
- ≥61st
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Raphael Balbino, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1972894921), first enumerated 04/26/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 903 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 91.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$16.79 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Raphael Balbino, M.D.'s individual license status. Verify directly with the state medical board.
Source: FLDOH annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1972894921 · Integrative Medicine Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1972894921
- ENUM-MID 2011
- TAX-TRACE 155
- MIPS-ABOVE 91.6/100
- RX-LIGHT 903
- BOOK-THIN 11 in Florida
- PHOTO-FINISH Meghan Jobson, MD, PHD · ±1.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Meghan Jobson, M…
Meghan Jobson, MD, PHD
90.3 MIPS pts
- Balbino · this p…
Balbino · this provider
91.6 MIPS pts
- Melinda Ring, MD…
Melinda Ring, MD
94.1 MIPS pts
- Georgios Asimis,…
Georgios Asimis, MD
95.4 MIPS pts
- Mark Kelley, MD …
Mark Kelley, MD
97.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Raphael Balbino, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 61st percentile 61% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
What does the federal data show about Raphael Balbino, M.D.?
High performer (top quartile)Primary specialty
Integrative Medicine Physician
Medicare Part D claims
903 13% vs specialty avg
MIPS final score
91.6/100 8.1 pts vs avg
Specialty distribution in Florida
How Integrative Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Raphael Balbino, M.D.'s 2023 MIPS final score plotted against the Integrative Medicine Physician national average
- MIPS Final Score
- 91.6/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1972894921 |
|---|---|
| Specialty | Integrative Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/26/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.6264
Final Score
Measured-score avg: 83.5
77.618
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Raphael Balbino, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
Grifols USA, 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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Raphael Balbino, M.D.. To verify Raphael Balbino, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
903
Total Claims
$69K
Total Drug Cost
85
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,854.733
- Total Day Supply
- 53,272
- Generic Drug Cost
- $29K
- Opioid Claims
- 83 (9.2% rate)
- Antibiotic Claims
- 85
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 13, 65-74: 41, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Raphael Balbino, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
46 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
40 claims
- Alprazolam
Alprazolam
35 claims
- Montelukast Sodium
Montelukast Sodium
28 claims
- Levothyroxine Sodium
Levothyroxine Sodium
25 claims
- Valacyclovir
Valacyclovir
23 claims
- Progesterone
Progesterone
21 claims
- Cyclobenzaprine Hcl 18
Cyclobenzaprine Hcl
18 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 46 |
| Rosuvastatin Calcium | 40 |
| Alprazolam | 35 |
| Montelukast Sodium | 28 |
| Levothyroxine Sodium | 25 |
| Valacyclovir Valacyclovir Hcl | 23 |
| Progesterone Progesterone, Micronized | 21 |
| Cyclobenzaprine Hcl | 18 |
| Metformin Hcl | 17 |
| Oxycodone Hcl | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Integrative Medicine Physician Overview
How Raphael Balbino, M.D. fits within the Integrative Medicine Physician landscape nationally.
155
Integrative Medicine Physician Providers in US
36
States with Integrative Medicine Physician
800
Avg Claims per Provider
Raphael Balbino, M.D.'s 903 claims are above the specialty average of 800.
Nationwide Integrative Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Balbino, both outside Florida so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.6 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Integrative Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Balbino.
One of 11 Integrative Medicine Physician providers enrolled in Florida, 5 are shown here.
Dr. Gavin Ajami
MD, MPH
Miami, FL
Dr. Paul Anderson
M.D.
Sarasota, FL
Jonathan Benestad
EMS
Margate, FL
Dr. Marcelle Diamandis
MD
St Petersburg, FL
Dr. Henry Frieder
MD
Fort Lauderdale, FL
Compare Integrative Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Raphael Balbino, M.D.'s specialty? ▼
Raphael Balbino, M.D. specializes in Integrative Medicine Physician and practices in Jacksonville, Florida. Credentials: M.D..
How much does Raphael Balbino, M.D. prescribe under Medicare Part D? ▼
In 2024, Raphael Balbino, M.D. wrote 903 Medicare Part D claims totaling $69K in drug costs for 85 beneficiaries.
What is Raphael Balbino, M.D.'s Medicare quality score? ▼
Raphael Balbino, M.D. has a CMS MIPS Final Score of 91.6/100 (Quality: 77.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raphael Balbino, M.D. located? ▼
Raphael Balbino, M.D. is located at 9283 SAN JOSE BLVD STE 201, Jacksonville, FL, 32257. Phone: (904) 268-5826.
What is Raphael Balbino, M.D.'s NPI number? ▼
Raphael Balbino, M.D.'s National Provider Identifier (NPI) is 1972894921, issued on 04/26/2011.
Does Raphael Balbino, M.D. prescribe opioids? ▼
Yes, Raphael Balbino, M.D. had 83 opioid claims in 2024 with an opioid prescribing rate of 9.2%.
How many Integrative Medicine Physician providers are there in the US? ▼
There are 155 Integrative Medicine Physician providers across 36 states in the US. The average Integrative Medicine Physician provider writes 800 Medicare Part D claims per year.
What drugs does Raphael Balbino, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Raphael Balbino, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Rosuvastatin Calcium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raphael Balbino, M.D. accept Medicare? ▼
Raphael Balbino, M.D. appears in CMS Medicare data with 903 Part D claims and 85 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raphael Balbino, M.D.'s credentials? ▼
Raphael Balbino, M.D.'s NPI is 1972894921 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.