2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1669405312 MD
Verify on CMS →

SERGIO BALINGIT, MD

Sleep Medicine (Internal Medicine) Physician in THE VILLAGES, Florida. 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
4K
Medicare Part D claims · 857 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$2.4K
111 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SERGIO BALINGIT, MD is a Sleep Medicine (Internal Medicine) Physician ([object Object]) practicing in THE VILLAGES, Florida with a Medicare Part D prescribing footprint of 4K claims across 857 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.4K across 111 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SERGIO BALINGIT, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 4,131 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)

SERGIO BALINGIT, 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).

SERGIO BALINGIT, MD at a glance

Below national average

NPI registry status

Active

Issued 07/08/2006

NPI 1669405312

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

4,131 215% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers

Sleep Medicine (Internal Medicine) Physician share within Florida

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Florida

Medicare quality performance — MIPS

SERGIO BALINGIT, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 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).

SERGIO BALINGIT, MD is a Sleep Medicine (Internal Medicine) Physician provider practicing in THE VILLAGES, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669405312. 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.

SERGIO BALINGIT, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 1501 N US HIGHWAY 441, THE VILLAGES, FL, 32159, with a listed phone of (352) 751-0448. NPI 1669405312 was issued on 07/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALINGIT 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 4,131 prescription claims written by this provider, covering 857 Medicare beneficiaries and totaling roughly $2.6 million in drug spend. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

1501 N US HIGHWAY 441
THE VILLAGES, FL 32159

Provider Details

NPI 1669405312
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 07/08/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where SERGIO BALINGIT, 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.

SERGIO L BALINGIT JR MD PA
THE VILLAGES, FL

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 SERGIO BALINGIT, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.4K

Largest payer

AstraZeneca Pharmaceuticals LP

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 SERGIO BALINGIT, MD. To verify SERGIO BALINGIT, MD'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 2023.

4,131
Total Claims
$2.6M
Total Drug Cost
857
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,643
Total Day Supply
220,130
Generic Drug Cost
$231K
Antibiotic Claims
210

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
2.14
Gender Split
56% female / 44% male
Age Distribution
<65: 28, 65-74: 261, 75-84: 449, 85+: 119

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
409
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
389
Montelukast Sodium
301
Albuterol Sulfate Hfa
Albuterol Sulfate
288
Symbicort
Budesonide/Formoterol Fumarate
212
Fluticasone Propionate
166
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
158
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
157
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
115
Methylprednisolone
73

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

Sleep Medicine (Internal Medicine) Physician Overview

How SERGIO BALINGIT, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

SERGIO BALINGIT, MD's 4,131 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Florida

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

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SERGIO BALINGIT, MD's specialty?
SERGIO BALINGIT, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in THE VILLAGES, Florida. Credentials: MD.
How much does SERGIO BALINGIT, MD prescribe under Medicare Part D?
In 2023, SERGIO BALINGIT, MD wrote 4,131 Medicare Part D claims totaling $2.6M in drug costs for 857 beneficiaries.
What is SERGIO BALINGIT, MD's Medicare quality score?
SERGIO BALINGIT, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SERGIO BALINGIT, MD located?
SERGIO BALINGIT, MD is located at 1501 N US HIGHWAY 441, THE VILLAGES, FL, 32159. Phone: (352) 751-0448.
What is SERGIO BALINGIT, MD's NPI number?
SERGIO BALINGIT, MD's National Provider Identifier (NPI) is 1669405312, issued on 07/08/2006.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does SERGIO BALINGIT, MD prescribe most often?
Based on 2023 Medicare Part D data, SERGIO BALINGIT, MD's most frequently prescribed drugs include Trelegy Ellipta, Anoro Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SERGIO BALINGIT, MD accept Medicare?
SERGIO BALINGIT, MD appears in CMS Medicare data with 4,131 Part D claims and 857 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SERGIO BALINGIT, MD's credentials?
SERGIO BALINGIT, MD's NPI is 1669405312 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