Paul Balbach, NP-C
NPI 1851860936 · Family Nurse Practitioner · Daleville, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Balbach, NP-C is a Family Nurse Practitioner provider in Daleville, VA (NPI 1851860936).
Provider details
- NPI number
- 1851860936
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 0024176936 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 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
720 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 277 | $105 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 183 | $9 |
| Hemoglobin A1c Level83036 | 53 | $10 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $106 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 31 | $75 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 101 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 191 | 75 |
| Atorvastatin Calcium | 166 | 67 |
| Lisinopril | 161 | 68 |
| Gabapentin | 145 | 76 |
| Levothyroxine Sodium | 117 | 52 |
| Omeprazole | 91 | 46 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-18
- Last updated
- 2019-08-07
Frequently asked questions
- What is Paul Balbach's NPI number?
- Paul Balbach's National Provider Identifier (NPI) is 1851860936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Balbach's specialty?
- Paul Balbach is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Paul Balbach located?
- Paul Balbach's practice location on file with NPPES is 150 Market Ridge Ln, Daleville, VA 24083-3258.
- What is Paul Balbach's phone number?
- The practice phone number listed in the NPPES registry for Paul Balbach is (540) 816-7112.
- Does Paul Balbach accept Medicare?
- Paul Balbach is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Balbach's NPI active?
- Yes — Paul Balbach's NPI (1851860936) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.