2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1194783787 MD
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JAMES BALARBAR, MD

Emergency Medical Services (Emergency Medicine) Physician in ROUND ROCK, 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
210
Medicare Part D claims · 146 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
What the federal data reveals: JAMES BALARBAR, MD is a Emergency Medical Services (Emergency Medicine) Physician ([object Object]) practicing in ROUND ROCK, Texas with a Medicare Part D prescribing footprint of 210 claims across 146 beneficiaries .

What stands out: JAMES BALARBAR, MD filed 210 Medicare Part D claims in 2023 across ROUND ROCK, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES BALARBAR, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JAMES BALARBAR, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/03/2006

NPI 1194783787

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

210 47% vs specialty avg

2023 prescription claims

Specialty avg: 394

Specialty distribution in Texas

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Texas providers

Texas providers

Emergency Medical Services (Emergency Medicine) Physician share within Texas

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medical Services (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medical Services (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medical Services (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medical Services (Emergency Medicine) Physician) — 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).

JAMES BALARBAR, MD is a Emergency Medical Services (Emergency Medicine) Physician provider practicing in ROUND ROCK, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1194783787. 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.

JAMES BALARBAR, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 2400 ROUND ROCK AVE, ROUND ROCK, TX, 78681, with a listed phone of (512) 341-1000. NPI 1194783787 was issued on 05/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALARBAR 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 210 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 17.6%. 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.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

2400 ROUND ROCK AVE
ROUND ROCK, TX 78681

Provider Details

NPI 1194783787
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 05/03/2006

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 JAMES BALARBAR, MD. To verify JAMES BALARBAR, MD'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.

Medicare Part D Prescribing Data

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

210
Total Claims
$2K
Total Drug Cost
146
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
211
Total Day Supply
1,728
Generic Drug Cost
$1K
Opioid Claims
37 (17.6% rate)
Antibiotic Claims
65

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
1.43
Gender Split
68% female / 32% 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
32
Cephalexin
21
Ondansetron Odt
Ondansetron
18
Prednisone
18
Doxycycline Hyclate
15

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

Emergency Medical Services (Emergency Medicine) Physician Overview

How JAMES BALARBAR, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

JAMES BALARBAR, MD's 210 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in Texas

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

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BALARBAR, MD's specialty?
JAMES BALARBAR, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in ROUND ROCK, Texas. Credentials: MD.
How much does JAMES BALARBAR, MD prescribe under Medicare Part D?
In 2023, JAMES BALARBAR, MD wrote 210 Medicare Part D claims totaling $2K in drug costs for 146 beneficiaries.
Where is JAMES BALARBAR, MD located?
JAMES BALARBAR, MD is located at 2400 ROUND ROCK AVE, ROUND ROCK, TX, 78681. Phone: (512) 341-1000.
What is JAMES BALARBAR, MD's NPI number?
JAMES BALARBAR, MD's National Provider Identifier (NPI) is 1194783787, issued on 05/03/2006.
Does JAMES BALARBAR, MD prescribe opioids?
Yes, JAMES BALARBAR, MD had 37 opioid claims in 2023 with an opioid prescribing rate of 17.6%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does JAMES BALARBAR, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES BALARBAR, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Cephalexin, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BALARBAR, MD accept Medicare?
JAMES BALARBAR, MD appears in CMS Medicare data with 210 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BALARBAR, MD's credentials?
JAMES BALARBAR, MD's NPI is 1194783787 with credentials MD. 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