2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1619267630 M.D.
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JOSHUA BALCH, M.D.

Physical Medicine & Rehabilitation Physician in EAGLE RIVER, Alaska. 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
2K
Medicare Part D claims · 338 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
51.5547/100
▼ 32 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOSHUA BALCH, M.D. is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in EAGLE RIVER, Alaska with a Medicare Part D prescribing footprint of 2K claims across 338 beneficiaries . Their CMS MIPS Final Score of 51.5547/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOSHUA BALCH, M.D. reported a CMS MIPS final score of 51.5547 out of 100, below the 83.1 national average, and filed 2,350 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSHUA BALCH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSHUA BALCH, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/11/2011

NPI 1619267630

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

2,350 201% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

51.5547/100 31.545299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Alaska

How Physical Medicine & Rehabilitation Physician compares to other specialties among Alaska providers

Alaska providers

Physical Medicine & Rehabilitation Physician share within Alaska

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Alaska

Medicare quality performance — MIPS

JOSHUA BALCH, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
51.5547/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 51.5547/100 vs national avg 83.1

0%100%National avg83%51.6%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 51.5547/100 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).

JOSHUA BALCH, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in EAGLE RIVER, Alaska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1619267630. 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.

JOSHUA BALCH, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 12836 OLD GLENN HWY STE 2, EAGLE RIVER, AK, 99577, with a listed phone of (907) 622-3715. NPI 1619267630 was issued on 04/11/2011. 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 2,350 prescription claims written by this provider, covering 338 Medicare beneficiaries and totaling roughly $127K in drug spend, with an opioid prescribing rate of 47.4%. 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 51.5547/100 for the 2023 performance year (Quality 39.3527), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

12836 OLD GLENN HWY STE 2
EAGLE RIVER, AK 99577

Provider Details

NPI 1619267630
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 04/11/2011

CMS Quality Score (MIPS)

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

51.5547
Final Score
Avg: 83.1
39.3527
Quality
29
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSHUA BALCH, M.D. 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.

BALCH INTERVENTIONAL PAIN AND WELLNESS CENTER PLLC
FORT WORTH, TX
PAIN AND HEADACHE CENTER LLC
FORT WORTH, 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).

Medicare Part D Prescribing Data

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

2,350
Total Claims
$127K
Total Drug Cost
338
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,429
Total Day Supply
69,336
Generic Drug Cost
$62K
Opioid Claims
1,113 (47.4% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
2.22
Gender Split
61% female / 39% male
Age Distribution
<65: 94, 65-74: 128, 75-84: 92, 85+: 24

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
681
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
148
Gabapentin
141
Cyclobenzaprine Hcl
104
Oxycodone Hcl
82
Pregabalin
78
Methocarbamol
66
Tizanidine Hcl
56
Tramadol Hcl
54
Atorvastatin Calcium
45

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

Physical Medicine & Rehabilitation Physician Overview

How JOSHUA BALCH, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

JOSHUA BALCH, M.D.'s 2,350 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Alaska

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSHUA BALCH, M.D.'s specialty?
JOSHUA BALCH, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in EAGLE RIVER, Alaska. Credentials: M.D..
How much does JOSHUA BALCH, M.D. prescribe under Medicare Part D?
In 2023, JOSHUA BALCH, M.D. wrote 2,350 Medicare Part D claims totaling $127K in drug costs for 338 beneficiaries.
What is JOSHUA BALCH, M.D.'s Medicare quality score?
JOSHUA BALCH, M.D. has a CMS MIPS Final Score of 51.5547/100 (Quality: 39.3527). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA BALCH, M.D. located?
JOSHUA BALCH, M.D. is located at 12836 OLD GLENN HWY STE 2, EAGLE RIVER, AK, 99577. Phone: (907) 622-3715.
What is JOSHUA BALCH, M.D.'s NPI number?
JOSHUA BALCH, M.D.'s National Provider Identifier (NPI) is 1619267630, issued on 04/11/2011.
Does JOSHUA BALCH, M.D. prescribe opioids?
Yes, JOSHUA BALCH, M.D. had 1,113 opioid claims in 2023 with an opioid prescribing rate of 47.4%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does JOSHUA BALCH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA BALCH, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA BALCH, M.D. accept Medicare?
JOSHUA BALCH, M.D. appears in CMS Medicare data with 2,350 Part D claims and 338 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA BALCH, M.D.'s credentials?
JOSHUA BALCH, M.D.'s NPI is 1619267630 with credentials M.D.. 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