2026 NPPES data Physician Assistant NPI 1710090170 PA
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ANTHONY BALCHUNAS, PA

Physician Assistant in WACO, Texas. 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
3K
Medicare Part D claims · 598 beneficiaries · Physician Assistant avg: 790
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.3343/100
▼ 9 pts below national avg 83.1 · [object Object]

What the federal data shows

ANTHONY BALCHUNAS, PA reported a CMS MIPS final score of 74.3343/100 — below the 83.1 national average — and filed 2,926 Medicare Part D claims in 2023.

74.3343/100
MIPS score · -9 vs avg
3K
Part D claims, 2023
99%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANTHONY BALCHUNAS, PA's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

74 12th percentile higher than 12% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about ANTHONY BALCHUNAS, PA?

Below national average

NPI registry status

Active

Issued 08/17/2006

NPI 1710090170

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,926 270% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

74.3343/100 8.765699999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Physician Assistant compares to other specialties among Texas providers

Texas providers

Physician Assistant share within Texas

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

Medicare quality performance — MIPS

ANTHONY BALCHUNAS, PA's 2023 MIPS final score plotted against the Physician Assistant national average

Below national average
MIPS Final Score
74.3343/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 74.3343/100 vs national avg 83.1

0%100%National avg83%74.3%
MIPS final score (Physician Assistant) — 74.3343/100 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).

ANTHONY BALCHUNAS, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 601 W STATE HWY 6, WACO, TX, 76710, with a listed phone of (254) 741-6113. NPI 1710090170 was issued on 08/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALCHUNAS 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 2,926 prescription claims written by this provider, covering 598 Medicare beneficiaries and totaling roughly $132K in drug spend, split 1% brand-name and 99% generic by claim count. 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 74.3343/100 for the 2023 performance year (Quality 72.6921, Cost 41.7555), compared with the national average of 83.1.

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

601 W STATE HWY 6
WACO, TX 76710

Provider Details

NPI 1710090170
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 08/17/2006

CMS Quality Score (MIPS)

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

74.3343
Final Score
Avg: 83.1
72.6921
Quality
41.7555
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANTHONY BALCHUNAS, PA 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.

PROVIDENCE HEALTH ALLIANCE
WACO, TX

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to ANTHONY BALCHUNAS, PA. To verify ANTHONY BALCHUNAS, PA's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ANTHONY BALCHUNAS, PA — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,926 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,926
Total Claims
$132K
Total Drug Cost
598
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,702
Total Day Supply
136,107
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$15K
Generic Drug Cost
$117K
Antibiotic Claims
54

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.11
Gender Split
0% female / 100% male
Age Distribution
<65: 102, 65-74: 319, 75-84: 164, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What ANTHONY BALCHUNAS, PA prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Testosterone Cypionate
1,680
Tamsulosin Hcl
395
Anastrozole
312
Alfuzosin Hcl Er
Alfuzosin Hcl
129
Finasteride
70
Testosterone
42
Solifenacin Succinate
41
Cabergoline
29
Sildenafil Citrate
29
Pentoxifylline
22

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

Physician Assistant Overview

How ANTHONY BALCHUNAS, PA fits within the Physician Assistant landscape nationally.

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

ANTHONY BALCHUNAS, PA's 2,926 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Texas

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

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

Frequently Asked Questions

What is ANTHONY BALCHUNAS, PA's specialty?
ANTHONY BALCHUNAS, PA specializes in Physician Assistant and practices in WACO, Texas. Credentials: PA.
How much does ANTHONY BALCHUNAS, PA prescribe under Medicare Part D?
In 2023, ANTHONY BALCHUNAS, PA wrote 2,926 Medicare Part D claims totaling $132K in drug costs for 598 beneficiaries.
What is ANTHONY BALCHUNAS, PA's Medicare quality score?
ANTHONY BALCHUNAS, PA has a CMS MIPS Final Score of 74.3343/100 (Quality: 72.6921, Cost: 41.7555). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANTHONY BALCHUNAS, PA located?
ANTHONY BALCHUNAS, PA is located at 601 W STATE HWY 6, WACO, TX, 76710. Phone: (254) 741-6113.
What is ANTHONY BALCHUNAS, PA's NPI number?
ANTHONY BALCHUNAS, PA's National Provider Identifier (NPI) is 1710090170, issued on 08/17/2006.
Does ANTHONY BALCHUNAS, PA prescribe more brand-name or generic drugs?
ANTHONY BALCHUNAS, PA's prescribing is 1% brand-name and 99% generic drugs by claim count, with $15K in brand drug costs.
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 ANTHONY BALCHUNAS, PA prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY BALCHUNAS, PA's most frequently prescribed drugs include Testosterone Cypionate, Tamsulosin Hcl, Anastrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY BALCHUNAS, PA accept Medicare?
ANTHONY BALCHUNAS, PA appears in CMS Medicare data with 2,926 Part D claims and 598 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY BALCHUNAS, PA's credentials?
ANTHONY BALCHUNAS, PA's NPI is 1710090170 with credentials PA. 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