2026 NPPES data Physician Assistant NPI 1184132813
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CALEB BALAS

Physician Assistant in BISMARCK, North Dakota. 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
306
Medicare Part D claims · 110 beneficiaries · Physician Assistant avg: 790
MIPS score
83.9833/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$134.26
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CALEB BALAS is a Physician Assistant ([object Object]) practicing in BISMARCK, North Dakota with a Medicare Part D prescribing footprint of 306 claims across 110 beneficiaries . Their CMS MIPS Final Score of 83.9833/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $134.26 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CALEB BALAS reported a CMS MIPS final score of 83.9833 out of 100, above the 83.1 national average, and filed 306 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CALEB BALAS at a glance

Near national average

NPI registry status

Active

Issued 01/16/2018

NPI 1184132813

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

306 61% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

83.9833/100 0.8833000000000055% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Physician Assistant compares to other specialties among North Dakota providers

North Dakota providers

Physician Assistant share within North Dakota

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

Medicare quality performance — MIPS

CALEB BALAS's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
83.9833/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 83.9833/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Physician Assistant) — 83.9833/100 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).

CALEB BALAS is a Physician Assistant provider practicing in BISMARCK, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1184132813. 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.

CALEB BALAS appears in the CMS NPPES registry as a Physician Assistant provider at 225 N 7TH ST, BISMARCK, ND, 58501, with a listed phone of (701) 323-8920. NPI 1184132813 was issued on 01/16/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALAS 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 306 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 38.2%. 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 83.9833/100 for the 2023 performance year (Quality 79.2862, Cost 68.158), 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

225 N 7TH ST
BISMARCK, ND 58501

Provider Details

NPI 1184132813
Specialty Physician Assistant
Gender Male
NPI Issued 01/16/2018

CMS Quality Score (MIPS)

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

83.9833
Final Score
Avg: 83.1
79.2862
Quality
68.158
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CALEB BALAS 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.

SANFORD BISMARCK
BISMARCK, ND

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 CALEB BALAS. Source: openpaymentsdata.cms.gov.

Total received

$134

Largest payer

Boston Scientific Corporation

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.

306
Total Claims
$3K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
345
Total Day Supply
5,268
Generic Drug Cost
$2K
Opioid Claims
117 (38.2% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.14
Gender Split
66% female / 34% 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
Tramadol Hcl
56
Meloxicam
38
Oxycodone Hcl
38
Amoxicillin
23
Famotidine
22
Cefadroxil
21
Tizanidine Hcl
21
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17
Diclofenac Sodium
16

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

Physician Assistant Overview

How CALEB BALAS fits within the Physician Assistant landscape nationally.

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

CALEB BALAS's 306 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in North Dakota

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

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

Frequently Asked Questions

What is CALEB BALAS's specialty?
CALEB BALAS specializes in Physician Assistant and practices in BISMARCK, North Dakota.
How much does CALEB BALAS prescribe under Medicare Part D?
In 2023, CALEB BALAS wrote 306 Medicare Part D claims totaling $3K in drug costs for 110 beneficiaries.
What is CALEB BALAS's Medicare quality score?
CALEB BALAS has a CMS MIPS Final Score of 83.9833/100 (Quality: 79.2862, Cost: 68.158). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CALEB BALAS located?
CALEB BALAS is located at 225 N 7TH ST, BISMARCK, ND, 58501. Phone: (701) 323-8920.
What is CALEB BALAS's NPI number?
CALEB BALAS's National Provider Identifier (NPI) is 1184132813, issued on 01/16/2018.
Does CALEB BALAS prescribe opioids?
Yes, CALEB BALAS had 117 opioid claims in 2023 with an opioid prescribing rate of 38.2%.
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 CALEB BALAS prescribe most often?
Based on 2023 Medicare Part D data, CALEB BALAS's most frequently prescribed drugs include Tramadol Hcl, Meloxicam, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CALEB BALAS accept Medicare?
CALEB BALAS appears in CMS Medicare data with 306 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CALEB BALAS's credentials?
CALEB BALAS's NPI is 1184132813. 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