Amy Elizabeth Balka, MD
Family Medicine Physician · Carrollton, VA
Amy Elizabeth Balka, MD is a family medicine physician with a practice address in Carrollton, Virginia, and NPI 1750344891, issued on Apr 10, 2006. Check the license (Virginia 0101237568, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Amy Elizabeth Balka
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 0101237568 VA
Self-reported in NPPES; status is on the state search - Practice location
- 13478 Carrollton Blvd, Carrollton, VA 23314
- Phone
- (757) 238-7043
- Enumerated
- Apr 10, 2006
- Record last updated
- Sep 30, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (757) 238-7052
- Medicaid ID
- 1750344891 VA
- Medicare enrollment
- Enrolled (PECOS I20090225000469); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 13478 Carrollton Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michelle Frickanisce, NPFamily Nurse Practitioner1952745275
- Lisa Knust, MDFamily Medicine Physician1336179134
- Daniel Toland, D.C.Chiropractor1982809943
Verify Amy Elizabeth Balka in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101237568Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.2 times the Medicare Part D claims of the average family medicine physician in 2024
7,828 Medicare Part D claims for 629 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 416 claims were for opioids.
Most prescribed
- Atorvastatin Calcium506 claims
- Amlodipine Besylate267 claims
- Levothyroxine Sodium229 claims
- Gabapentin200 claims
- Omeprazole195 claims
- Lisinopril149 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $51.06
2 payments; by number, the most common kind was food and beverage; the largest payer was Supernus Pharmaceuticals, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Riverside Physician Services IncCarrollton, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Amy Elizabeth Balka among 4,137 family medicine physician records in Virginia
Amy Elizabeth Balka, MD is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 50% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2003 · median 2004 among the 2,426 with a school on file
- Record last updated2013 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
11 family medicine physician records list a practice address in Carrollton
They are 11 of the 58 NPPES records with a practice address in Carrollton, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Carrollton → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Foroozan Afsharchi, M.D.Carrollton, VA 233141700087202
- Sarah Forsythe, DOCarrollton, VA 233141639582539
- Jeffrey Irwin, MDCarrollton, VA 233141881156362
- Lisa Knust, MDCarrollton, VA 233141336179134
- Joyce Lea, DOCarrollton, VA 233141720041205
- Bartholomew Lopresti, M.D.Carrollton, VA 233141225012214
- Maryam Rostami, M.D.Carrollton, VA 233141073744025
- Eddie Smith, MDCarrollton, VA 233141710958681
Common questions
What is Amy Elizabeth Balka, MD's NPI number?
Amy Elizabeth Balka, MD's National Provider Identifier (NPI) is 1750344891, issued on Apr 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Amy Elizabeth Balka, MD located?
The NPPES record lists a practice address at 13478 Carrollton Blvd, Carrollton, VA, 23314. Phone: (757) 238-7043. Providers update this record themselves, so call before visiting.
How can I verify Amy Elizabeth Balka, MD's license?
NPPES lists Virginia license number 0101237568, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Amy Elizabeth Balka, MD prescribe under Medicare Part D?
In 2024, Amy Elizabeth Balka, MD had 7,828 Medicare Part D claims for 629 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Amy Elizabeth Balka, MD's MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.