2026 NPPES data Cardiovascular Disease Physician NPI 1245235167 MD
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TAMAS BALOGH, MD

Cardiovascular Disease Physician in MOUNT AIRY, North Carolina. 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
6K
Medicare Part D claims · 802 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2438/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$55.36
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TAMAS BALOGH, MD is a Cardiovascular Disease Physician ([object Object]) practicing in MOUNT AIRY, North Carolina with a Medicare Part D prescribing footprint of 6K claims across 802 beneficiaries — 20% brand-name prescribing . Their CMS MIPS Final Score of 93.2438/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $55.36 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TAMAS BALOGH, MD reported a CMS MIPS final score of 93.2438 out of 100, above the 83.1 national average, and filed 6,211 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)

TAMAS BALOGH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TAMAS BALOGH, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/16/2005

NPI 1245235167

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

6,211 105% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

93.2438/100 10.143799999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Cardiovascular Disease Physician compares to other specialties among North Carolina providers

North Carolina providers

Cardiovascular Disease Physician share within North Carolina

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
93.2438/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 93.2438/100 vs national avg 83.1

0%100%National avg83%93.2%
MIPS final score (Cardiovascular Disease Physician) — 93.2438/100 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).

TAMAS BALOGH, MD is a Cardiovascular Disease Physician provider practicing in MOUNT AIRY, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245235167. 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.

TAMAS BALOGH, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 708 S SOUTH ST STE 200, MOUNT AIRY, NC, 27030, with a listed phone of (336) 786-6146. NPI 1245235167 was issued on 06/16/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALOGH 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 6,211 prescription claims written by this provider, covering 802 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 20% brand-name and 80% 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 93.2438/100 for the 2023 performance year (Quality 83.2429), 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

708 S SOUTH ST STE 200
MOUNT AIRY, NC 27030

Provider Details

NPI 1245235167
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 06/16/2005

CMS Quality Score (MIPS)

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

93.2438
Final Score
Avg: 83.1
83.2429
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TAMAS BALOGH, 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.

BROAD RIVER REHABILITATION
CHARLOTTE, NC
NORTHERN HOSPITAL OF SURRY COUNTY
MOUNT AIRY, NC

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 TAMAS BALOGH, MD. Source: openpaymentsdata.cms.gov.

Total received

$55

Largest payer

iRhythm Technologies, 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.

Brand vs generic prescribing mix · Typical

TAMAS BALOGH, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 6,211 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.

6,211
Total Claims
$1.1M
Total Drug Cost
802
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,382
Total Day Supply
398,389
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$110K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.49
Gender Split
55% female / 45% male
Age Distribution
<65: 57, 65-74: 284, 75-84: 292, 85+: 169

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
757
Metoprolol Succinate
597
Carvedilol
508
Amlodipine Besylate
364
Furosemide
309
Valsartan
291
Losartan Potassium
289
Xarelto
Rivaroxaban
250
Lisinopril
246
Atorvastatin Calcium
220

* 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 TAMAS BALOGH, 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

TAMAS BALOGH, MD's 6,211 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BALOGH.

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

Frequently Asked Questions

What is TAMAS BALOGH, MD's specialty?
TAMAS BALOGH, MD specializes in Cardiovascular Disease Physician and practices in MOUNT AIRY, North Carolina. Credentials: MD.
How much does TAMAS BALOGH, MD prescribe under Medicare Part D?
In 2023, TAMAS BALOGH, MD wrote 6,211 Medicare Part D claims totaling $1.1M in drug costs for 802 beneficiaries.
What is TAMAS BALOGH, MD's Medicare quality score?
TAMAS BALOGH, MD has a CMS MIPS Final Score of 93.2438/100 (Quality: 83.2429). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TAMAS BALOGH, MD located?
TAMAS BALOGH, MD is located at 708 S SOUTH ST STE 200, MOUNT AIRY, NC, 27030. Phone: (336) 786-6146.
What is TAMAS BALOGH, MD's NPI number?
TAMAS BALOGH, MD's National Provider Identifier (NPI) is 1245235167, issued on 06/16/2005.
Does TAMAS BALOGH, MD prescribe more brand-name or generic drugs?
TAMAS BALOGH, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $1.0M 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 TAMAS BALOGH, MD prescribe most often?
Based on 2023 Medicare Part D data, TAMAS BALOGH, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TAMAS BALOGH, MD accept Medicare?
TAMAS BALOGH, MD appears in CMS Medicare data with 6,211 Part D claims and 802 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TAMAS BALOGH, MD's credentials?
TAMAS BALOGH, MD's NPI is 1245235167 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