2026 NPPES data Adult Health Nurse Practitioner NPI 1003125410 ARNP
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MELANIE BALFOUR, ARNP

Adult Health Nurse Practitioner in THOMASVILLE, Georgia. 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
163
Medicare Part D claims · 89 beneficiaries · Adult Health Nurse Practitioner avg: 1K

What the federal data shows

MELANIE BALFOUR, ARNP filed 163 Medicare Part D claims in 2023 as a Adult Health Nurse Practitioner in THOMASVILLE, Georgia.

163
Part D claims, 2023

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.

MELANIE BALFOUR, ARNP's Medicare Part D volume vs every U.S. prescriber

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

163 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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 MELANIE BALFOUR, ARNP?

Quality data not reported

NPI registry status

Active

Issued 10/03/2010

NPI 1003125410

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

163 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

Specialty distribution in Georgia

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

Georgia providers

Adult Health Nurse Practitioner share within Georgia

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

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).

MELANIE BALFOUR, ARNP is a Adult Health Nurse Practitioner provider practicing in THOMASVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: ARNP. NPI: 1003125410. 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.

MELANIE BALFOUR, ARNP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding ARNP credentials at 100 S MADISON ST, THOMASVILLE, GA, 31792, with a listed phone of (229) 236-0831. NPI 1003125410 was issued on 10/03/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALFOUR 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 163 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $10K in drug spend. 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

100 S MADISON ST
THOMASVILLE, GA 31792

Provider Details

NPI 1003125410
Specialty Adult Health Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 10/03/2010

Medicare Part D Prescribing Data

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

163
Total Claims
$10K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
173
Total Day Supply
3,221
Generic Drug Cost
$1K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.95
Gender Split
53% female / 47% 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
Amlodipine Besylate
13
Prednisone
11

* 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 MELANIE BALFOUR, ARNP 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

MELANIE BALFOUR, ARNP's 163 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Georgia

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

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

Frequently Asked Questions

What is MELANIE BALFOUR, ARNP's specialty?
MELANIE BALFOUR, ARNP specializes in Adult Health Nurse Practitioner and practices in THOMASVILLE, Georgia. Credentials: ARNP.
How much does MELANIE BALFOUR, ARNP prescribe under Medicare Part D?
In 2023, MELANIE BALFOUR, ARNP wrote 163 Medicare Part D claims totaling $10K in drug costs for 89 beneficiaries.
Where is MELANIE BALFOUR, ARNP located?
MELANIE BALFOUR, ARNP is located at 100 S MADISON ST, THOMASVILLE, GA, 31792. Phone: (229) 236-0831.
What is MELANIE BALFOUR, ARNP's NPI number?
MELANIE BALFOUR, ARNP's National Provider Identifier (NPI) is 1003125410, issued on 10/03/2010.
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 MELANIE BALFOUR, ARNP prescribe most often?
Based on 2023 Medicare Part D data, MELANIE BALFOUR, ARNP's most frequently prescribed drugs include Amlodipine Besylate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELANIE BALFOUR, ARNP accept Medicare?
MELANIE BALFOUR, ARNP appears in CMS Medicare data with 163 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELANIE BALFOUR, ARNP's credentials?
MELANIE BALFOUR, ARNP's NPI is 1003125410 with credentials ARNP. 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