2026 NPPES data Adult Health Nurse Practitioner NPI 1225451925 AGPCNP
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LEAH BALCH, AGPCNP

Adult Health Nurse Practitioner in GREENEVILLE, Tennessee. 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 · 587 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.2K
121 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LEAH BALCH, AGPCNP filed 2,199 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in GREENEVILLE, Tennessee, prescribing 78% generic.

2K
Part D claims, 2023
78%
generic prescribing
$2.2K
industry payments (Sunshine Act)

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.

LEAH BALCH, AGPCNP's Medicare Part D volume vs every U.S. prescriber

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

2,199 Top 15% higher than 85% 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 LEAH BALCH, AGPCNP?

Quality data not reported

NPI registry status

Active

Issued 01/31/2014

NPI 1225451925

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

2,199 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in Tennessee

How Adult Health Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Adult Health Nurse Practitioner share within Tennessee

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Adult Health Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Health Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Adult Health Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Health Nurse Practitioner) — 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).

LEAH BALCH, AGPCNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding AGPCNP credentials at 1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN, 37745, with a listed phone of (423) 787-6370. NPI 1225451925 was issued on 01/31/2014. 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 2,199 prescription claims written by this provider, covering 587 Medicare beneficiaries and totaling roughly $3.5 million in drug spend, split 22% brand-name and 78% 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.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

1406 TUSCULUM BLVD STE 1200
GREENEVILLE, TN 37745

Provider Details

NPI 1225451925
Specialty Adult Health Nurse Practitioner
Credentials AGPCNP
Gender Female
NPI Issued 01/31/2014

Hospital and facility affiliations

Facilities where LEAH BALCH, AGPCNP 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.

TAKOMA REGIONAL HOSPITAL INC
GREENEVILLE, TN

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 LEAH BALCH, AGPCNP. Source: openpaymentsdata.cms.gov.

Total received

$2.2K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

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

LEAH BALCH, AGPCNP — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 2,199 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.

2,199
Total Claims
$3.5M
Total Drug Cost
587
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,321
Total Day Supply
86,880
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$3.5M
Generic Drug Cost
$94K
Antibiotic Claims
421

Patient Demographics

Average Patient Age
67.5 years
Avg HCC Risk Score
1.67
Gender Split
66% female / 34% male
Age Distribution
<65: 183, 65-74: 235, 75-84: 148, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What LEAH BALCH, AGPCNP 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
Pantoprazole Sodium
391
Omeprazole
186
Metronidazole
149
Sucralfate
138
Doxycycline Hyclate
136
Famotidine
85
Xifaxan
Rifaximin
75
Humira(Cf) Pen
Adalimumab
67
Cholestyramine
Cholestyramine (With Sugar)
59
Linzess
Linaclotide
50

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

Adult Health Nurse Practitioner Overview

How LEAH BALCH, AGPCNP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

LEAH BALCH, AGPCNP's 2,199 claims are above the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Tennessee

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LEAH BALCH, AGPCNP's specialty?
LEAH BALCH, AGPCNP specializes in Adult Health Nurse Practitioner and practices in GREENEVILLE, Tennessee. Credentials: AGPCNP.
How much does LEAH BALCH, AGPCNP prescribe under Medicare Part D?
In 2023, LEAH BALCH, AGPCNP wrote 2,199 Medicare Part D claims totaling $3.5M in drug costs for 587 beneficiaries.
Where is LEAH BALCH, AGPCNP located?
LEAH BALCH, AGPCNP is located at 1406 TUSCULUM BLVD STE 1200, GREENEVILLE, TN, 37745. Phone: (423) 787-6370.
What is LEAH BALCH, AGPCNP's NPI number?
LEAH BALCH, AGPCNP's National Provider Identifier (NPI) is 1225451925, issued on 01/31/2014.
Does LEAH BALCH, AGPCNP prescribe more brand-name or generic drugs?
LEAH BALCH, AGPCNP's prescribing is 22% brand-name and 78% generic drugs by claim count, with $3.5M in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does LEAH BALCH, AGPCNP prescribe most often?
Based on 2023 Medicare Part D data, LEAH BALCH, AGPCNP's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEAH BALCH, AGPCNP accept Medicare?
LEAH BALCH, AGPCNP appears in CMS Medicare data with 2,199 Part D claims and 587 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEAH BALCH, AGPCNP's credentials?
LEAH BALCH, AGPCNP's NPI is 1225451925 with credentials AGPCNP. 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