NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1467894675 M.D.
Verify on CMS → Vamshi Krishna Sai Balasetti, M.D.
Neurology Physician in Montgomery, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in Neurology 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
84
Medicare Part D claims · 30 beneficiaries · Neurology Physician avg: 1K
MIPS score
80.9/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$2.6K
33 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Vamshi Krishna Sai Balasetti, M.D. reported a CMS MIPS final score of 80.9/100 - below the 83.1 national average - and filed 84 Medicare Part D claims in 2023.
- 80.9/100
- MIPS score · -2 vs avg
- 84
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Vamshi Krishna Sai Balasetti, 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
81 33rd percentile higher than 33% of 477,587 scored providers
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
Where Vamshi Krishna Sai Balasetti, M.D. sits
This provider among neurology physician peers
Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Vamshi Krishna Sai Balasetti, M.D. writes more Part D claims than 11% of them and scores higher on MIPS quality than 41% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Vamshi Krishna Sai Balasetti, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Vamshi Krishna Sai Balasetti, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Vamshi Krishna Sai Balasetti, M.D.?
Near national averagePrimary specialty
Neurology Physician
Medicare Part D claims
84 94% vs specialty avg
MIPS final score
80.9/100 2.2 pts vs avg
Specialty distribution in Alabama
How Neurology Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
Vamshi Krishna Sai Balasetti, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 80.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurology Physician) - 80.9/100 vs national avg 83.1
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).
Vamshi Krishna Sai Balasetti, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 2065 E SOUTH BLVD STE 201, Montgomery, AL, 36116, with a listed phone of (334) 747-7250. NPI 1467894675 was issued on 07/29/2013.
Medicare Part D records for calendar year 2023 show 84 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $6K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.9/100 for the 2023 performance year (Quality 76.7, Cost 59.6), compared with the national average of 83.1.
Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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
Provider Details
| NPI | 1467894675 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/29/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.8774
Final Score
Avg: 83.1
76.7063
Quality
59.5518
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Vamshi Krishna Sai Balasetti, 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.
According to CMS billing records, Vamshi Krishna Sai Balasetti, M.D. is affiliated with 4 Medicare-billing facilities across 3 states.
Asante Physician Partners
Medford, OR
Blue Sky Telehealth LLC
Greenwood Village, CO
Health Care Authority For Baptist Health, AN Affiliate OF Uabhs
Montgomery, AL
Kaiser Foundation Health Plan OF The Northwest
Clackamas, OR
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 Vamshi Krishna Sai Balasetti, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.6K
Largest payer
Penumbra, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
84
Total Claims
$6K
Total Drug Cost
30
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 204
- Total Day Supply
- 6,094
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 32 |
| Atorvastatin Calcium | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Vamshi Krishna Sai Balasetti, M.D. fits within the Neurology Physician landscape nationally.
19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Vamshi Krishna Sai Balasetti, M.D.'s 84 claims are below the specialty average of 1,309.
Nearby Neurology Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Balasetti.
Shruti Agnihotri
Birmingham, AL
Dr. Mohammad Aladawi
MD
Birmingham, AL
Dr. Anjaneyulu Alapati
M.D.
Huntsville, AL
Dr. Muhammad Ali
M.D.
Jasper, AL
Dr. Amit Arora
M.D.
Huntsville, AL
Compare Neurology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Alabama medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Virtual care options and coverage in 2026
Explore Alabama
Frequently Asked Questions
What is Vamshi Krishna Sai Balasetti, M.D.'s specialty? ▼
Vamshi Krishna Sai Balasetti, M.D. specializes in Neurology Physician and practices in Montgomery, Alabama. Credentials: M.D..
How much does Vamshi Krishna Sai Balasetti, M.D. prescribe under Medicare Part D? ▼
In 2023, Vamshi Krishna Sai Balasetti, M.D. wrote 84 Medicare Part D claims totaling $6K in drug costs for 30 beneficiaries.
What is Vamshi Krishna Sai Balasetti, M.D.'s Medicare quality score? ▼
Vamshi Krishna Sai Balasetti, M.D. has a CMS MIPS Final Score of 80.9/100 (Quality: 76.7, Cost: 59.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vamshi Krishna Sai Balasetti, M.D. located? ▼
Vamshi Krishna Sai Balasetti, M.D. is located at 2065 E SOUTH BLVD STE 201, Montgomery, AL, 36116. Phone: (334) 747-7250.
What is Vamshi Krishna Sai Balasetti, M.D.'s NPI number? ▼
Vamshi Krishna Sai Balasetti, M.D.'s National Provider Identifier (NPI) is 1467894675, issued on 07/29/2013.
How many Neurology Physician providers are there in the US? ▼
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Vamshi Krishna Sai Balasetti, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Vamshi Krishna Sai Balasetti, M.D.'s most frequently prescribed drugs include Clopidogrel, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vamshi Krishna Sai Balasetti, M.D. accept Medicare? ▼
Vamshi Krishna Sai Balasetti, M.D. appears in CMS Medicare data with 84 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vamshi Krishna Sai Balasetti, M.D.'s credentials? ▼
Vamshi Krishna Sai Balasetti, M.D.'s NPI is 1467894675 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 (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
Compiled from official public sources by the PlainDoctor editorial team.