Claudio Ballester, M.D.
NPI 1326327552ActiveIndividual· Orthopaedic Surgery· Orange, CA
Orthopaedic Surgery (M.D.) in Orange, California, trained at University of Puerto Rico School of Medicine (class of 2011). 12 Medicare patients in 2024, $6,357 paid; nearly all of their 196 Part D prescriptions were generic (97%). Smith+nephew, Inc. reported $64.31 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1326327552 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 5, 2011 |
| Last updated in NPPES | Aug 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | A150179 | CA |
| Orthopaedic Surgery | 207X00000X | 0101259588 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 28 across 11 procedure codes |
| Paid by Medicare | $6,357 |
Part D prescriptions in 2024
| Prescriptions (claims) | 196 · 200 30-day fills |
|---|---|
| Patients | 150 |
| Total drug cost | $4,984 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Orthopedic Surgery |
| Secondary specialties | Sports Medicine |
Hospital affiliation
- Hospital Pavia AreciboArecibo, PR
Industry payments (Open Payments)
- 2025$64.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $64.31 | 1 |
What the 2025 payments were for
- Food and Beverage$64.31 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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