James Balvich, MD
NPI 1427020163 · Internal Medicine Physician · Kernersville, NC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Balvich, MD is a Internal Medicine Physician provider in Kernersville, NC (NPI 1427020163).
Provider details
- NPI number
- 1427020163
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2011-01983 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
553 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 222 | $160 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 152 | $7 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 127 | $108 |
| Critical Care, First 30-74 Minutes99291 | 35 | $193 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 17 | $63 |
Typical Medicare-allowed amounts for these services range $7–$193 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 74 | 74 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 60 | 60 |
| Ondansetronbrand: Ondansetron Odt | 55 | 55 |
| Doxycycline Hyclate | 37 | 37 |
| Prednisone | 37 | 35 |
| Tamsulosin Hcl | 20 | 20 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is James Balvich's NPI number?
- James Balvich's National Provider Identifier (NPI) is 1427020163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Balvich's specialty?
- James Balvich is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Balvich located?
- James Balvich's practice location on file with NPPES is 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146.
- What is James Balvich's phone number?
- The practice phone number listed in the NPPES registry for James Balvich is (336) 556-4000.
- Does James Balvich accept Medicare?
- James Balvich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Balvich's NPI active?
- Yes — James Balvich's NPI (1427020163) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.