2026 NPPES data Nurse Practitioner NPI 1548605587 NP
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VIRGILIO BALUYUT, NP

Nurse Practitioner in BERKELEY, California. 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
1K
Medicare Part D claims · 156 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
16.0257/100
▼ 67 pts below national avg 83.1 · [object Object]
What the federal data reveals: VIRGILIO BALUYUT, NP is a Nurse Practitioner ([object Object]) practicing in BERKELEY, California with a Medicare Part D prescribing footprint of 1K claims across 156 beneficiaries . Their CMS MIPS Final Score of 16.0257/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: VIRGILIO BALUYUT, NP reported a CMS MIPS final score of 16.0257 out of 100, below the 83.1 national average, and filed 1,351 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

VIRGILIO BALUYUT, NP at a glance

Below national average

NPI registry status

Active

Issued 05/03/2013

NPI 1548605587

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

1,351 25% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

16.0257/100 67.0743% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within California

Medicare quality performance — MIPS

VIRGILIO BALUYUT, NP's 2023 MIPS final score plotted against the Nurse Practitioner national average

Below national average
MIPS Final Score
16.0257/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 16.0257/100 vs national avg 83.1

0%100%National avg83%16%
MIPS final score (Nurse Practitioner) — 16.0257/100 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).

VIRGILIO BALUYUT, NP is a Nurse Practitioner provider practicing in BERKELEY, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP. NPI: 1548605587. 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.

VIRGILIO BALUYUT, NP appears in the CMS NPPES registry as a Nurse Practitioner provider holding NP credentials at 1510 4TH ST, BERKELEY, CA, 94710, with a listed phone of (510) 525-8980. NPI 1548605587 was issued on 05/03/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALUYUT 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 1,351 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $91K in drug spend, with an opioid prescribing rate of 31.7%. 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 16.0257/100 for the 2023 performance year (Quality 0, Cost 53.419), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

1510 4TH ST
BERKELEY, CA 94710

Provider Details

NPI 1548605587
Specialty Nurse Practitioner
Credentials NP
Gender Male
NPI Issued 05/03/2013

CMS Quality Score (MIPS)

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

16.0257
Final Score
Avg: 83.1
0
Quality
53.419
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where VIRGILIO BALUYUT, NP 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.

GURPREET S DHUGGA MEDICAL CORPORATION
FAIRFIELD, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to VIRGILIO BALUYUT, NP. To verify VIRGILIO BALUYUT, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

1,351
Total Claims
$91K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,352
Total Day Supply
24,271
Generic Drug Cost
$44K
Opioid Claims
428 (31.7% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
2.97
Gender Split
61% female / 39% male
Age Distribution
<65: 21, 65-74: 52, 75-84: 52, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
141
Hydromorphone Hcl
127
Lorazepam
86
Furosemide
66
Tramadol Hcl
62
Oxycodone Hcl
48
Ondansetron Hcl
33
Xarelto
Rivaroxaban
31
Amlodipine Besylate
30
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
26

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

Nurse Practitioner Overview

How VIRGILIO BALUYUT, NP fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

VIRGILIO BALUYUT, NP's 1,351 claims are above the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is VIRGILIO BALUYUT, NP's specialty?
VIRGILIO BALUYUT, NP specializes in Nurse Practitioner and practices in BERKELEY, California. Credentials: NP.
How much does VIRGILIO BALUYUT, NP prescribe under Medicare Part D?
In 2023, VIRGILIO BALUYUT, NP wrote 1,351 Medicare Part D claims totaling $91K in drug costs for 156 beneficiaries.
What is VIRGILIO BALUYUT, NP's Medicare quality score?
VIRGILIO BALUYUT, NP has a CMS MIPS Final Score of 16.0257/100 (Quality: 0, Cost: 53.419). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VIRGILIO BALUYUT, NP located?
VIRGILIO BALUYUT, NP is located at 1510 4TH ST, BERKELEY, CA, 94710. Phone: (510) 525-8980.
What is VIRGILIO BALUYUT, NP's NPI number?
VIRGILIO BALUYUT, NP's National Provider Identifier (NPI) is 1548605587, issued on 05/03/2013.
Does VIRGILIO BALUYUT, NP prescribe opioids?
Yes, VIRGILIO BALUYUT, NP had 428 opioid claims in 2023 with an opioid prescribing rate of 31.7%.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does VIRGILIO BALUYUT, NP prescribe most often?
Based on 2023 Medicare Part D data, VIRGILIO BALUYUT, NP's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Hydromorphone Hcl, Lorazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VIRGILIO BALUYUT, NP accept Medicare?
VIRGILIO BALUYUT, NP appears in CMS Medicare data with 1,351 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VIRGILIO BALUYUT, NP's credentials?
VIRGILIO BALUYUT, NP's NPI is 1548605587 with credentials NP. 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