Len Balke, MD
NPI 1992787527 · Psychiatry Physician · Prescott, AZ
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Len Balke, MD is a Psychiatry Physician provider in Prescott, AZ (NPI 1992787527).
Provider details
- NPI number
- 1992787527
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 46880 (AZ)
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
336 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 | 127 | $124 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 103 | $70 |
| Psychotherapy With Evaluation and Management Visit, 1 Hour90838 | 58 | $117 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $88 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 15 | $213 |
Typical Medicare-allowed amounts for these services range $70–$213 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 68 | 15 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 44 | — |
| Citalopram Hydrobromidebrand: Citalopram Hbr | 39 | — |
| Trazodone Hcl | 31 | — |
| Lamotrigine | 27 | — |
| Mirtazapine | 24 | — |
| Quetiapine Fumarate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Frequently asked questions
- What is Len Balke's NPI number?
- Len Balke's National Provider Identifier (NPI) is 1992787527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Len Balke's specialty?
- Len Balke is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Len Balke located?
- Len Balke's practice location on file with NPPES is 1680 W Iron Springs Rd Ste 103, Prescott, AZ 86305-3313.
- What is Len Balke's phone number?
- The practice phone number listed in the NPPES registry for Len Balke is (928) 235-6346.
- Does Len Balke accept Medicare?
- Len Balke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Len Balke's NPI active?
- Yes — Len Balke's NPI (1992787527) is active in the NPPES registry as of the last update on 2026-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.