Dr. Claudio Ballester, MD

  • San Juan, PR
  • Orthopedic surgeon
NPI1326327552PAC ID7416241435
Medicare patients, 2026
12
Part D claims, 2026
196
Publications
2
Hospital affiliations
1
Industry payments
$21,713
Practice address
Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
Practice phone
Call (787) 650-7272
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Hospital Pavia Arecibo

Hospital · Arecibo, Puerto Rico

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Dr. Claudio Ballester is an orthopedic surgeon in San Juan, Puerto Rico

Dr. Ballester practices at Hospital Pavia Arecibo in Arecibo, Puerto Rico, part of Hospital Pavia Arecibo.

Dr. Ballester's NPI, 1326327552, was assigned on August 5, 2011. Dr. Ballester graduated from University of Puerto Rico, Medical Sciences Campus in 2011. Dr. Ballester's California license number on file is A150179.

NPI and contact details
Medicare PAC ID
7416241435
NPI enumeration date
August 5, 2011
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(787) 650-7272
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
41
Medical school graduation
2011

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Claudio Ballester practices in Arecibo and San Juan

Dr. Ballester's primary practice is Hospital Pavia Arecibo, at Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612 in Arecibo County. The practice phone is (787) 650-7272. The NPI Registry lists Dr. Ballester's practice address as 210 Manuel Domenech, San Juan, PR 00918.

  • Hospital Pavia AreciboPrimary
    Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612 · Arecibo CountyPhone(787) 650-7272
  • NPI Registry address
    210 Manuel Domenech, San Juan, PR 00918 · San Juan CountyPhone(714) 633-2111

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Dr. Claudio Ballester is affiliated with 1 site of care

Dr. Ballester's primary practice is Hospital Pavia Arecibo in Arecibo, Puerto Rico, part of Hospital Pavia Arecibo.

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Claudio Ballester's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Ballester practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hospital Pavia AreciboAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Hospital Pavia Arecibo and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Claudio Ballester is one of 78 orthopedic surgeons in Puerto Rico

Orthopaedic surgery is Dr. Ballester's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. Ballester's licenses on file in 3 states: California, Puerto Rico and Virginia.

Specialties and state licenses

  • Orthopaedic surgery, CaliforniaPrimaryLicense A150179 · 2017 to 2021 · taxonomy 207X00000X
  • Puerto Rico license2020 to 2028
  • Virginia licenseLicense 0101259588 · 2016 to 2018

Clinical focus

Dmand AI lists arm, wrist, hand fracture and dislocation, joint pain and pelvic and hip fracture among the conditions Dr. Ballester treats.

Orthopedic surgeons near Dr. Ballester

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Claudio Ballester treated 12 Medicare patients in 2026, average age 78

CMS counts 12 Medicare patients who saw Dr. Ballester in 2026. Their average risk score is 1.12, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Ballester's median patient age at 80, with 69% women.

Medicare patients, 202612
Average age78
Average risk score1.12

Dr. Ballester's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 80

Patient panel by sex, all payers

  • Women69%
  • Men31%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2026 data

Dr. Claudio Ballester wrote 196 Medicare Part D claims in 2026

In 2026, Dr. Ballester wrote 196 Medicare Part D claims for 150 patients. 97% of them were for generic drugs. CMS names the drug for 147 of them, across 2 drugs with 11 or more claims each, at $1,570 in total drug cost. In 2023, CMS named 178 claims across 3 drugs.

Part D claims, 2026196
Drugs named by CMS2
Total drug cost$1,570
Part D patients150

Dr. Ballester's Part D claims by kind of drug, 2026

  • Generic191 claims97%
  • Brand-name and other5 claims3%

Dr. Ballester's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Ballester's Part D claims, 2026

  • Opioids38%75 of 196 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1782024: 14717%

Drugs named by CMS: 2 in 2024, 3 in 2023.

See all prescribing by Dr. Ballester

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2026 data

Dr. Claudio Ballester ranks in the 99th percentile for upper limb (arm) arthroscopy (minimally invasive joint repair) in Medicare

Dr. Ballester accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 249 procedures of upper limb (arm) arthroscopy (minimally invasive joint repair) by Dr. Ballester, more than 99% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Where Dr. Ballester ranks in Medicare procedure volume

Upper limb (arm) arthroscopy (minimally invasive joint repair)
99th percentile249 procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)
97th percentile35 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Hip replacement: 1 to 10 procedures (CMS shows small counts as a range)

Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)

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Dr. Claudio Ballester has 2 publications on record

Dmand AI links 2 papers to Dr. Ballester.

Papers2

Recent publications by Dr. Ballester

See all 2 publications and co-authors

See who Dr. Ballester researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Ballester works with, so you can find a warm path to the right orthopedic surgeons.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Claudio Ballester received $21,713 in industry payments from 2016 to 2025

CMS Open Payments shows 41 general payments to Dr. Ballester from 8 drug and device companies from 2016 to 2025. Grants make up the largest share, 77% of the total. Arthrex, Inc. paid the most, $10,000.

General payments to Dr. Ballester by program year, 2016 to 2025

General payments to Dr. Ballester by kind, 2016 to 2025

$21.7Kin total
  • Grants$16,66677%
  • Travel and lodging$3,34615%
  • Food and beverage$1,7018%

Companies that paid Dr. Ballester the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Ballester

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Claudio Ballester graduated from University of Puerto Rico, Medical Sciences Campus

Dr. Ballester graduated from University of Puerto Rico, Medical Sciences Campus in 2011.

  1. Medical schoolUniversity of Puerto Rico, Medical Sciences Campus

Source: Dmand AI Professional Profile Data

Dr. Claudio Ballester accepts plans from 6 insurance carriers

Dr. Ballester is in network with 6 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Humana
  • Regence Health Plans

Plan types Dr. Ballester accepts, by number of carriers

  1. Medicare6
  2. PPO6
  3. HMO2
  4. POS2
  5. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Claudio Ballester's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Claudio Ballester

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Claudio Ballester's NPI number?

Dr. Claudio Ballester's NPI number is 1326327552. It was assigned on August 5, 2011, and it is active in the NPI Registry.

What kind of doctor is Dr. Claudio Ballester?

Dr. Claudio Ballester is an orthopedic surgeon in San Juan, Puerto Rico. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Claudio Ballester practice?

Dr. Ballester practices at Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612. Dr. Ballester also practices at 210 Manuel Domenech, San Juan, PR 00918. Dr. Ballester's primary practice is Hospital Pavia Arecibo in Arecibo, Puerto Rico, part of Hospital Pavia Arecibo.

What is Dr. Claudio Ballester's office phone number?

The practice phone on file for Dr. Ballester is (787) 650-7272. Dmand AI also checks direct phone and mobile numbers, available with a free account.

What is Dr. Claudio Ballester's email address?

Dmand AI checks professional and personal email addresses for Dr. Ballester through healthcare-specific waterfall enrichment. They are available with a free Dmand AI account.

What is Dr. Claudio Ballester's medical license number?

Dr. Ballester's California license number on file is A150179, one of the licenses on file in 3 states.

Which states has Dr. Claudio Ballester been licensed in?

Dmand AI has state licenses on file for Dr. Ballester in California (2017 to 2021), Puerto Rico (2020 to 2028) and Virginia (2016 to 2018).

Which hospitals is Dr. Claudio Ballester affiliated with?

Dr. Ballester practices at Hospital Pavia Arecibo in Arecibo, Puerto Rico.

Does Dr. Claudio Ballester accept Medicare?

Yes. CMS lists Dr. Ballester as accepting Medicare assignment.

How many Medicare patients does Dr. Claudio Ballester see?

CMS counts 12 Medicare patients who saw Dr. Ballester in 2026, with an average age of 78.

Show 7 more questionsShow fewer questions

Where did Dr. Claudio Ballester go to medical school?

Dr. Ballester graduated from University of Puerto Rico, Medical Sciences Campus in 2011.

What drugs does Dr. Claudio Ballester prescribe most?

In 2024 Medicare Part D data, Dr. Ballester's most prescribed drugs by claims were Triamcinolone Acetonide and Tramadol HCl-Acetaminophen.

Has Dr. Claudio Ballester received payments from drug or device companies?

CMS Open Payments shows $21,713 in general payments to Dr. Ballester from 8 companies from 2016 to 2025. The largest total came from Arthrex, Inc.

How long has Dr. Claudio Ballester been practicing?

Dr. Ballester graduated from medical school in 2011, 15 years ago.

Does Dr. Claudio Ballester do research?

Dmand AI links 2 publications to Dr. Ballester.

What EHR does Dr. Claudio Ballester's practice use?

Dmand AI tracks the EHR system at Hospital Pavia Arecibo. The vendor and product are available with a free Dmand AI account.

What insurance does Dr. Claudio Ballester accept?

Dr. Ballester is in network with 6 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

Selling to orthopaedic surgery practices?

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