NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1619267630 M.D.
Verify on CMS → 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 15,336 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 · 338 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
51.6/100
▼ 32 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joshua Balch, M.D. reported a CMS MIPS final score of 51.6/100 - below the 83.1 national average - and filed 2,350 Medicare Part D claims in 2023.
- 51.6/100
- MIPS score · -32 vs avg
- 2K
- Part D claims, 2023
- 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.
Joshua Balch, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
52 4th percentile higher than 4% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
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 2,781 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 90% of them and scores higher on MIPS quality than 8% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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 averagePrimary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
2,350 201% vs specialty avg
MIPS final score
51.6/100 31.5 pts vs avg
Specialty distribution in Alaska
How Physical Medicine & Rehabilitation Physician compares to other specialties among Alaska providers
Medicare quality performance, MIPS
Joshua Balch, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average
- MIPS Final Score
- 51.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physical Medicine & Rehabilitation Physician) - 51.6/100 vs national avg 83.1
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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 51.6/100 for the 2023 performance year (Quality 39.4), compared with the national average of 83.1.
Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,336 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
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.
What Joshua Balch, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
681 claims
- Oxycodone-Acetamin… 148
Oxycodone-Acetaminophen
148 claims
- Gabapentin 141
Gabapentin
141 claims
- Cyclobenzaprine Hcl 104
Cyclobenzaprine Hcl
104 claims
- Oxycodone Hcl 82
Oxycodone Hcl
82 claims
- Pregabalin 78
Pregabalin
78 claims
- Methocarbamol 66
Methocarbamol
66 claims
- Tizanidine Hcl 56
Tizanidine Hcl
56 claims
| 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.
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.
15,336
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.
Daisha Alvarez
Seward, AK
Dr. Jennifer Andress
PTA
Anchorage, AK
Dr. John Bursell
M.D.
Juneau, AK
Dr. Jay Cherok
DPT
Homer, AK
Dr. Crystal Daniken
PTA
Anchorage, AK
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Alaska medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 51.6/100 (Quality: 39.4). 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 15,336 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.