2026 NPPES data Obstetrics & Gynecology Physician NPI 1568720183 M.D.
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KIRA BALKCOM, M.D.

Obstetrics & Gynecology Physician in RUTLAND, Vermont. 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
262
Medicare Part D claims · 90 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$258.47
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KIRA BALKCOM, M.D. is a Obstetrics & Gynecology Physician ([object Object]) practicing in RUTLAND, Vermont with a Medicare Part D prescribing footprint of 262 claims across 90 beneficiaries — 10% brand-name prescribing . Industry payments of $258.47 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KIRA BALKCOM, M.D. filed 262 Medicare Part D claims in 2023 across RUTLAND, Vermont. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

KIRA BALKCOM, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/02/2012

NPI 1568720183

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

262 46% vs specialty avg

2023 prescription claims

Specialty avg: 179

Specialty distribution in Vermont

How Obstetrics & Gynecology Physician compares to other specialties among Vermont providers

Vermont providers

Obstetrics & Gynecology Physician share within Vermont

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Vermont

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Physician (ABMS / AOA reference)

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

Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology 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).

KIRA BALKCOM, M.D. is a Obstetrics & Gynecology Physician provider practicing in RUTLAND, Vermont, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1568720183. 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.

KIRA BALKCOM, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 147 ALLEN ST, RUTLAND, VT, 05701, with a listed phone of (802) 775-1901. NPI 1568720183 was issued on 05/02/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALKCOM 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 262 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $30K in drug spend, split 10% brand-name and 90% generic by claim count. 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.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

147 ALLEN ST
RUTLAND, VT 05701

Provider Details

NPI 1568720183
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 05/02/2012

Hospital and facility affiliations

Facilities where KIRA BALKCOM, 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.

DARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH
SPRINGFIELD HOSPITAL INC.
SPRINGFIELD, VT

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KIRA BALKCOM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$258

Largest payer

Acessa Health Inc.

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

KIRA BALKCOM, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 262 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.

262
Total Claims
$30K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
397
Total Day Supply
9,710
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$12K
Generic Drug Cost
$18K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
0.80
Gender Split
100% female / 0% 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
Estradiol
58
Clobetasol Propionate
50
Triamcinolone Acetonide
22
Yuvafem
Estradiol
17
Nystatin
15
Valacyclovir
Valacyclovir Hcl
12

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

Obstetrics & Gynecology Physician Overview

How KIRA BALKCOM, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

KIRA BALKCOM, M.D.'s 262 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Vermont

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KIRA BALKCOM, M.D.'s specialty?
KIRA BALKCOM, M.D. specializes in Obstetrics & Gynecology Physician and practices in RUTLAND, Vermont. Credentials: M.D..
How much does KIRA BALKCOM, M.D. prescribe under Medicare Part D?
In 2023, KIRA BALKCOM, M.D. wrote 262 Medicare Part D claims totaling $30K in drug costs for 90 beneficiaries.
Where is KIRA BALKCOM, M.D. located?
KIRA BALKCOM, M.D. is located at 147 ALLEN ST, RUTLAND, VT, 05701. Phone: (802) 775-1901.
What is KIRA BALKCOM, M.D.'s NPI number?
KIRA BALKCOM, M.D.'s National Provider Identifier (NPI) is 1568720183, issued on 05/02/2012.
Does KIRA BALKCOM, M.D. prescribe more brand-name or generic drugs?
KIRA BALKCOM, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $12K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does KIRA BALKCOM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KIRA BALKCOM, M.D.'s most frequently prescribed drugs include Estradiol, Clobetasol Propionate, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KIRA BALKCOM, M.D. accept Medicare?
KIRA BALKCOM, M.D. appears in CMS Medicare data with 262 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KIRA BALKCOM, M.D.'s credentials?
KIRA BALKCOM, M.D.'s NPI is 1568720183 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.
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