NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1477751774 D.O.
Verify on CMS → Robert Balch, D.O.
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Fort Worth, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (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
6K
Medicare Part D claims · 646 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
55.8/100
▼ 27 pts below national avg 83.1 · Mid-tier
Industry payments
$70.92
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Robert Balch, D.O. reported a CMS MIPS final score of 55.8/100 - below the 83.1 national average - and filed 6,223 Medicare Part D claims in 2023.
- 55.8/100
- MIPS score · -27 vs avg
- 6K
- 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.
Robert Balch, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
56 5th percentile higher than 5% 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 Robert Balch, D.O. sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Balch, D.O. writes more Part D claims than 94% of them and scores higher on MIPS quality than 18% - 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 pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Robert Balch, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robert Balch, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Robert Balch, D.O.?
Below national averagePrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
6,223 344% vs specialty avg
MIPS final score
55.8/100 27.3 pts vs avg
Specialty distribution in Texas
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Robert Balch, D.O.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 55.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 55.8/100 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).
Robert Balch, D.O. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding D.O. credentials at 4319 CAMP BOWIE BLVD, Fort Worth, TX, 76107, with a listed phone of (817) 984-6210. NPI 1477751774 was issued on 07/07/2007.
Medicare Part D records for calendar year 2023 show 6,223 prescription claims written by this provider, covering 646 Medicare beneficiaries and totaling roughly $480K in drug spend, with an opioid prescribing rate of 59.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 55.8/100 for the 2023 performance year (Quality 52.2), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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 | 1477751774 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 07/07/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
55.7671
Final Score
Avg: 83.1
52.1892
Quality
30
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Robert Balch, D.O. 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
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 Robert Balch, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$71
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Robert Balch, D.O.. To verify Robert Balch, D.O.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
6,223
Total Claims
$480K
Total Drug Cost
646
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,607
- Total Day Supply
- 187,110
- Generic Drug Cost
- $235K
- Opioid Claims
- 3,702 (59.5% rate)
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 67.7 years
- Avg HCC Risk Score
- 2.18
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 209, 65-74: 272, 75-84: 129, 85+: 36
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Balch, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,990 claims
- Oxycodone Hcl 583
Oxycodone Hcl
583 claims
- Oxycodone-Acetamin… 466
Oxycodone-Acetaminophen
466 claims
- Pregabalin 407
Pregabalin
407 claims
- Gabapentin 401
Gabapentin
401 claims
- Tramadol Hcl 203
Tramadol Hcl
203 claims
- Tizanidine Hcl 123
Tizanidine Hcl
123 claims
- Zolpidem Tartrate 116
Zolpidem Tartrate
116 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,990 |
| Oxycodone Hcl | 583 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 466 |
| Pregabalin | 407 |
| Gabapentin | 401 |
| Tramadol Hcl | 203 |
| Tizanidine Hcl | 123 |
| Zolpidem Tartrate | 116 |
| Cyclobenzaprine Hcl | 113 |
| Duloxetine Hcl | 105 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in TX →
All providers in Texas →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Robert Balch, D.O. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Robert Balch, D.O.'s 6,223 claims are above the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Balch.
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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (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 Robert Balch, D.O.'s specialty? ▼
Robert Balch, D.O. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Fort Worth, Texas. Credentials: D.O..
How much does Robert Balch, D.O. prescribe under Medicare Part D? ▼
In 2023, Robert Balch, D.O. wrote 6,223 Medicare Part D claims totaling $480K in drug costs for 646 beneficiaries.
What is Robert Balch, D.O.'s Medicare quality score? ▼
Robert Balch, D.O. has a CMS MIPS Final Score of 55.8/100 (Quality: 52.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Balch, D.O. located? ▼
Robert Balch, D.O. is located at 4319 CAMP BOWIE BLVD, Fort Worth, TX, 76107. Phone: (817) 984-6210.
What is Robert Balch, D.O.'s NPI number? ▼
Robert Balch, D.O.'s National Provider Identifier (NPI) is 1477751774, issued on 07/07/2007.
Does Robert Balch, D.O. prescribe opioids? ▼
Yes, Robert Balch, D.O. had 3,702 opioid claims in 2023 with an opioid prescribing rate of 59.5%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Robert Balch, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Balch, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone Hcl, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Balch, D.O. accept Medicare? ▼
Robert Balch, D.O. appears in CMS Medicare data with 6,223 Part D claims and 646 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Balch, D.O.'s credentials? ▼
Robert Balch, D.O.'s NPI is 1477751774 with credentials D.O.. 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.