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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.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,618 in Physical Medicine & Rehabilitation Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 310 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 793
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
51.6/100
▼ 32 pts below national avg 83.5 · Mid-tier
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joshua Balch, M.D. reported a CMS MIPS final score of 51.6/100 - below the 83.5 national average - and filed 2,229 Medicare Part D claims in 2024.

51.6/100
MIPS score · -32 vs avg
2K
Part D claims, 2024
94%
generic prescribing
Likely
board-certified (heuristic)

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.

Federal trust snapshot

What official records show about Joshua Balch, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1619267630), first enumerated 04/11/2011.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,229 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 51.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1619267630 · Physical Medicine & Rehabilitation Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1619267630
  • ENUM-MID 2011
  • TAX-MID 16K Physical Medicine
  • MIPS-LOW 51.6/100
  • RX-MID 2,229
  • BOOK-THIN 30 in Alaska
  • PHOTO-FINISH Cayli Balch, D.O. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joshua Balch, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

52 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). This entry sits in this band. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joshua Balch, M.D. sits

This provider among physical medicine & rehabilitation physician peers

Across the 2,483 physical medicine & rehabilitation physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joshua Balch, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Joshua Balch, M.D., Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 9
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one physical medicine & rehabilitation physician peer from a representative sample of 60; the gold marker is Joshua Balch, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
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).

What does the federal data show about Joshua Balch, M.D.?

Below national average

NPI registry status

Active

Issued 04/11/2011

NPI 1619267630

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,618 US NPIs in this specialty

Medicare Part D claims

2,229 181% vs specialty avg

2024 prescription claims

Specialty avg: 793

MIPS final score

51.6/100 31.9 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Alaska

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

Alaska providers
Community Health Worker7.8%Mental Health Counselor7.6%Case Manager/Care Coordinator6.1%Behavior Technician4.8%Registered Nurse4.7%Counselor4.2%Physical Medicine & Rehabili…0.1%
Largest specialties in Alaska (% of in-state providers)

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
51.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%51.6%
MIPS final score (Physical Medicine & Rehabilitation Physician) - 51.6/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

12836 OLD GLENN HWY STE 2
Eagle River, AK 99577
(907) 622-3715

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
Measured-score avg: 83.5
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).

Brand vs generic prescribing mix · Generic-heavy

Joshua Balch, M.D. - brand share 6.0%
Physical Medicine & Rehabilitation Physician average

6% brand-name claims vs 94% generic, on 2,229 2024 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 2024.

2,229
Total Claims
$109K
Total Drug Cost
310
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,302.967
Total Day Supply
64,885
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$45K
Generic Drug Cost
$64K
Opioid Claims
1,046 (46.9% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
2.40
Gender Split
61% female / 39% male
Age Distribution
<65: 70, 65-74: 123, 75-84: 91, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Joshua Balch, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
614
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
130
Gabapentin
 128
Cyclobenzaprine Hcl
 109
Oxycodone Hcl
 95
Pregabalin
 79
Tramadol Hcl
 62
Methocarbamol
 52
Morphine Sulfate Er
Morphine Sulfate
47
Baclofen
 39

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

More Physical Medicine & Rehabilitation Physician in AK → All providers in Alaska → Compare specialties →

Physical Medicine & Rehabilitation Physician Overview

How Joshua Balch, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,618
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
793
Avg Claims per Provider

Joshua Balch, M.D.'s 2,229 claims are above the specialty average of 793.

Nationwide Physical Medicine & Rehabilitation Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Balch, both outside Alaska so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (51.6 here).

Cayli Balch 51.6 TX Sofia Weigel 51.1 TX Egin Sam 52 TX Robert Thompson 51.1 KY

Same NPPES enumeration year (2011)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Shahab Moradi Downey, CA Tolulope Ilori Southfield, MI Lauren Hutts Birmingham, AL Angie Lastra Hollywood, FL

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.

One of 30 Physical Medicine & Rehabilitation Physician providers enrolled in Alaska, 5 are shown here.

Daisha Alvarez
Seward, AK
Jennifer Andress
PTA
Anchorage, AK
Dr. John Bursell
M.D.
Juneau, AK
Dr. Jay Cherok
DPT
Homer, AK
Dr. Kelsey Crowell
DO
Anchorage, AK

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 2024, Joshua Balch, M.D. wrote 2,229 Medicare Part D claims totaling $109K in drug costs for 310 beneficiaries.
What is Joshua Balch, M.D.'s Medicare quality score? ▼
Joshua Balch, M.D. has a CMS MIPS Final Score of 51.6/100 (Quality: 39.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 more brand-name or generic drugs? ▼
Joshua Balch, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $45K in brand drug costs.
Does Joshua Balch, M.D. prescribe opioids? ▼
Yes, Joshua Balch, M.D. had 1,046 opioid claims in 2024 with an opioid prescribing rate of 46.9%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,618 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 793 Medicare Part D claims per year.
What drugs does Joshua Balch, M.D. prescribe most often? ▼
Based on 2024 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 2,229 Part D claims and 310 Medicare beneficiaries in 2024. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.