2026 NPPES data Physician Assistant NPI 1659006807
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ADAM BALLANCE

Physician Assistant in RALEIGH, 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
234
Medicare Part D claims · 106 beneficiaries · Physician Assistant avg: 790
Industry payments
$1.1K
60 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ADAM BALLANCE is a Physician Assistant ([object Object]) practicing in RALEIGH, North Carolina with a Medicare Part D prescribing footprint of 234 claims across 106 beneficiaries . Industry payments of $1.1K across 60 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ADAM BALLANCE filed 234 Medicare Part D claims in 2023 across RALEIGH, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ADAM BALLANCE at a glance

Quality data not reported

NPI registry status

Active

Issued 07/21/2022

NPI 1659006807

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

234 70% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

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).

ADAM BALLANCE is a Physician Assistant provider practicing in RALEIGH, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1659006807. 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.

ADAM BALLANCE appears in the CMS NPPES registry as a Physician Assistant provider at 3100 DURALEIGH RD STE 200, RALEIGH, NC, 27612, with a listed phone of (984) 215-4570. NPI 1659006807 was issued on 07/21/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLANCE 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 234 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $42K in drug spend. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

3100 DURALEIGH RD STE 200
RALEIGH, NC 27612

Provider Details

NPI 1659006807
Specialty Physician Assistant
Gender Male
NPI Issued 07/21/2022

Hospital and facility affiliations

Facilities where ADAM BALLANCE 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.

UNC PHYSICIANS NETWORK LLC
RALEIGH, 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 ADAM BALLANCE. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

ABBVIE 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.

234
Total Claims
$42K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
423
Total Day Supply
11,509
Generic Drug Cost
$4K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.52
Gender Split
70% female / 30% 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
Fluticasone Propionate
20
Gabapentin
14
Albuterol Sulfate Hfa
Albuterol Sulfate
11

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

Physician Assistant Overview

How ADAM BALLANCE fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

ADAM BALLANCE's 234 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BALLANCE's specialty?
ADAM BALLANCE specializes in Physician Assistant and practices in RALEIGH, North Carolina.
How much does ADAM BALLANCE prescribe under Medicare Part D?
In 2023, ADAM BALLANCE wrote 234 Medicare Part D claims totaling $42K in drug costs for 106 beneficiaries.
Where is ADAM BALLANCE located?
ADAM BALLANCE is located at 3100 DURALEIGH RD STE 200, RALEIGH, NC, 27612. Phone: (984) 215-4570.
What is ADAM BALLANCE's NPI number?
ADAM BALLANCE's National Provider Identifier (NPI) is 1659006807, issued on 07/21/2022.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does ADAM BALLANCE prescribe most often?
Based on 2023 Medicare Part D data, ADAM BALLANCE's most frequently prescribed drugs include Fluticasone Propionate, Gabapentin, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM BALLANCE accept Medicare?
ADAM BALLANCE appears in CMS Medicare data with 234 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BALLANCE's credentials?
ADAM BALLANCE's NPI is 1659006807. 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.
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