2026 NPPES data Optometrist NPI 1376586867 OD
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CHARLES BALCH, OD

Optometrist in FAYETTEVILLE, 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
286
Medicare Part D claims · 72 beneficiaries · Optometrist avg: 257
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$354.29
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHARLES BALCH, OD filed 286 Medicare Part D claims in 2023 as a Optometrist in FAYETTEVILLE, North Carolina, prescribing 71% generic.

286
Part D claims, 2023
71%
generic prescribing
$354.29
industry payments (Sunshine Act)

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.

CHARLES BALCH, OD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

286 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about CHARLES BALCH, OD?

Quality data not reported

NPI registry status

Active

Issued 06/13/2006

NPI 1376586867

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

286 11% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers

Optometrist share within North Carolina

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within North Carolina

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Optometrist) — 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).

CHARLES BALCH, OD is a Optometrist provider practicing in FAYETTEVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1376586867. 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.

CHARLES BALCH, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 579 CROSS CREEK MALL, FAYETTEVILLE, NC, 28303, with a listed phone of (910) 487-2900. NPI 1376586867 was issued on 06/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALCH 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 286 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $20K in drug spend, split 29% brand-name and 71% 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.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

579 CROSS CREEK MALL
FAYETTEVILLE, NC 28303

Provider Details

NPI 1376586867
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 06/13/2006

Hospital and facility affiliations

Facilities where CHARLES BALCH, OD 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.

EYECARECENTER OD PA
FAYETTEVILLE, 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 CHARLES BALCH, OD. Source: openpaymentsdata.cms.gov.

Total received

$354

Largest payer

BIOTISSUE HOLDINGS 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.

Brand vs generic prescribing mix · Above average

CHARLES BALCH, OD — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 286 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.

286
Total Claims
$20K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
411
Total Day Supply
11,384
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$14K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
0.98
Gender Split
65% female / 35% 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
Latanoprost
140
Brimonidine Tartrate
22
Lumigan
Bimatoprost
22
Timolol Maleate
21
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
16
Prednisolone Acetate
16
Erythromycin
Erythromycin Base
11

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

Optometrist Overview

How CHARLES BALCH, OD fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

CHARLES BALCH, OD's 286 claims are above the specialty average of 257.

Nearby Optometrist Providers in North Carolina

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

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES BALCH, OD's specialty?
CHARLES BALCH, OD specializes in Optometrist and practices in FAYETTEVILLE, North Carolina. Credentials: OD.
How much does CHARLES BALCH, OD prescribe under Medicare Part D?
In 2023, CHARLES BALCH, OD wrote 286 Medicare Part D claims totaling $20K in drug costs for 72 beneficiaries.
Where is CHARLES BALCH, OD located?
CHARLES BALCH, OD is located at 579 CROSS CREEK MALL, FAYETTEVILLE, NC, 28303. Phone: (910) 487-2900.
What is CHARLES BALCH, OD's NPI number?
CHARLES BALCH, OD's National Provider Identifier (NPI) is 1376586867, issued on 06/13/2006.
Does CHARLES BALCH, OD prescribe more brand-name or generic drugs?
CHARLES BALCH, OD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $14K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does CHARLES BALCH, OD prescribe most often?
Based on 2023 Medicare Part D data, CHARLES BALCH, OD's most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES BALCH, OD accept Medicare?
CHARLES BALCH, OD appears in CMS Medicare data with 286 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES BALCH, OD's credentials?
CHARLES BALCH, OD's NPI is 1376586867 with credentials OD. 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