2026 NPPES data Physician Assistant NPI 1366533002 PA-C
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JAMES BALCH, PA-C

Physician Assistant in TOPEKA, Kansas. 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 · 353 beneficiaries · Physician Assistant avg: 790
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JAMES BALCH, PA-C filed 3,006 Medicare Part D claims in 2023 as a Physician Assistant in TOPEKA, Kansas, prescribing 88% generic.

3K
Part D claims, 2023
88%
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.

JAMES BALCH, PA-C's Medicare Part D volume vs every U.S. prescriber

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

3,006 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 JAMES BALCH, PA-C?

Quality data not reported

NPI registry status

Active

Issued 09/27/2006

NPI 1366533002

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

3,006 281% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Kansas

How Physician Assistant compares to other specialties among Kansas providers

Kansas providers

Physician Assistant share within Kansas

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Physician Assistant) — 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 BALCH, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 601 SW CORPORATE VW STE 200, TOPEKA, KS, 66615, with a listed phone of (785) 234-0880. NPI 1366533002 was issued on 09/27/2006. 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 3,006 prescription claims written by this provider, covering 353 Medicare beneficiaries and totaling roughly $303K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.2%. 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.

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 SW CORPORATE VW STE 200
TOPEKA, KS 66615

Provider Details

NPI 1366533002
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 09/27/2006

Hospital and facility affiliations

Facilities where JAMES BALCH, PA-C 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.

COTTON-O'NEIL CLINIC REVOCABLE TRUST
TOPEKA, KS

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JAMES BALCH, PA-C — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,006 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.

3,006
Total Claims
$303K
Total Drug Cost
353
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,384
Total Day Supply
185,195
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$254K
Generic Drug Cost
$48K
Opioid Claims
125 (4.2% rate)
Antibiotic Claims
70

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.19
Gender Split
56% female / 44% male
Age Distribution
<65: 45, 65-74: 178, 75-84: 100, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What JAMES BALCH, PA-C 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
Atorvastatin Calcium
168
Losartan Potassium
127
Levothyroxine Sodium
122
Lisinopril
122
Amlodipine Besylate
106
Hydrochlorothiazide
100
Simvastatin
94
Gabapentin
76
Omeprazole
72
Metoprolol Succinate
71

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

Physician Assistant Overview

How JAMES BALCH, PA-C fits within the Physician Assistant landscape nationally.

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

JAMES BALCH, PA-C's 3,006 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Kansas

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

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

Frequently Asked Questions

What is JAMES BALCH, PA-C's specialty?
JAMES BALCH, PA-C specializes in Physician Assistant and practices in TOPEKA, Kansas. Credentials: PA-C.
How much does JAMES BALCH, PA-C prescribe under Medicare Part D?
In 2023, JAMES BALCH, PA-C wrote 3,006 Medicare Part D claims totaling $303K in drug costs for 353 beneficiaries.
Where is JAMES BALCH, PA-C located?
JAMES BALCH, PA-C is located at 601 SW CORPORATE VW STE 200, TOPEKA, KS, 66615. Phone: (785) 234-0880.
What is JAMES BALCH, PA-C's NPI number?
JAMES BALCH, PA-C's National Provider Identifier (NPI) is 1366533002, issued on 09/27/2006.
Does JAMES BALCH, PA-C prescribe more brand-name or generic drugs?
JAMES BALCH, PA-C's prescribing is 12% brand-name and 88% generic drugs by claim count, with $254K in brand drug costs.
Does JAMES BALCH, PA-C prescribe opioids?
Yes, JAMES BALCH, PA-C had 125 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
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 JAMES BALCH, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JAMES BALCH, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BALCH, PA-C accept Medicare?
JAMES BALCH, PA-C appears in CMS Medicare data with 3,006 Part D claims and 353 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BALCH, PA-C's credentials?
JAMES BALCH, PA-C's NPI is 1366533002 with credentials PA-C. 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