2026 NPPES data Physician Assistant NPI 1245409184 PA
Verify on CMS →

SAMUEL BALK, PA

Physician Assistant in OMAHA, Nebraska. 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
3K
Medicare Part D claims · 133 beneficiaries · Physician Assistant avg: 790
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SAMUEL BALK, PA is a Physician Assistant ([object Object]) practicing in OMAHA, Nebraska with a Medicare Part D prescribing footprint of 3K claims across 133 beneficiaries — 17% brand-name prescribing .

What stands out: SAMUEL BALK, PA filed 2,624 Medicare Part D claims in 2023 across OMAHA, Nebraska. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SAMUEL BALK, PA at a glance

Quality data not reported

NPI registry status

Active

Issued 02/25/2008

NPI 1245409184

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

2,624 232% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Nebraska

How Physician Assistant compares to other specialties among Nebraska providers

Nebraska providers

Physician Assistant share within Nebraska

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Nebraska

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

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

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

SAMUEL BALK, PA is a Physician Assistant provider practicing in OMAHA, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1245409184. 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.

SAMUEL BALK, PA appears in the CMS NPPES registry as a Physician Assistant provider holding PA credentials at 4229 N 90TH ST, OMAHA, NE, 68134, with a listed phone of (402) 401-6000. NPI 1245409184 was issued on 02/25/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALK 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 2,624 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $442K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.0%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

4229 N 90TH ST
OMAHA, NE 68134

Provider Details

NPI 1245409184
Specialty Physician Assistant
Credentials PA
Gender Male
NPI Issued 02/25/2008

Hospital and facility affiliations

Facilities where SAMUEL BALK, PA 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.

ONEWORLD COMMUNITY HEALTH CENTERS INC
PLATTSMOUTH, NE
UNMC PHYSICIANS
OMAHA, NE

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

Brand vs generic prescribing mix · Typical

SAMUEL BALK, PA — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 2,624 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.

2,624
Total Claims
$442K
Total Drug Cost
133
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,831
Total Day Supply
141,835
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$402K
Generic Drug Cost
$39K
Opioid Claims
27 (1.0% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
1.10
Gender Split
48% female / 52% male
Age Distribution
<65: 41, 65-74: 78, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
247
Amlodipine Besylate
139
Lisinopril
138
Metformin Hcl
102
Levothyroxine Sodium
92
Albuterol Sulfate Hfa
Albuterol Sulfate
77
Hydrochlorothiazide
74
Metoprolol Tartrate
68
Trulicity
Dulaglutide
64
Gabapentin
54

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

Physician Assistant Overview

How SAMUEL BALK, PA fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

SAMUEL BALK, PA's 2,624 claims are above the specialty average of 790.

Nearby Physician Assistant Providers in Nebraska

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

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAMUEL BALK, PA's specialty?
SAMUEL BALK, PA specializes in Physician Assistant and practices in OMAHA, Nebraska. Credentials: PA.
How much does SAMUEL BALK, PA prescribe under Medicare Part D?
In 2023, SAMUEL BALK, PA wrote 2,624 Medicare Part D claims totaling $442K in drug costs for 133 beneficiaries.
Where is SAMUEL BALK, PA located?
SAMUEL BALK, PA is located at 4229 N 90TH ST, OMAHA, NE, 68134. Phone: (402) 401-6000.
What is SAMUEL BALK, PA's NPI number?
SAMUEL BALK, PA's National Provider Identifier (NPI) is 1245409184, issued on 02/25/2008.
Does SAMUEL BALK, PA prescribe more brand-name or generic drugs?
SAMUEL BALK, PA's prescribing is 17% brand-name and 83% generic drugs by claim count, with $402K in brand drug costs.
Does SAMUEL BALK, PA prescribe opioids?
Yes, SAMUEL BALK, PA had 27 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does SAMUEL BALK, PA prescribe most often?
Based on 2023 Medicare Part D data, SAMUEL BALK, PA's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMUEL BALK, PA accept Medicare?
SAMUEL BALK, PA appears in CMS Medicare data with 2,624 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMUEL BALK, PA's credentials?
SAMUEL BALK, PA's NPI is 1245409184 with credentials PA. 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