BILL M BALCH (MD) – Internal Medicine Physician, NPI 1548219959
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,290 INTERNAL MEDICINE in TX
Provider Addresses for BILL M BALCH (MD)
5012 S US HIGHWAY 75
SUITE 300
DENISON, TX 750204587
Phone: (903) 416-6015
Fax: (903) 416-6132
Type: Location
5012 S US HWY 75, SUITE 300
ATTN BILLING
DENISON, TX 750204587
Phone: (903) 416-6015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $308.
Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($66).
Total Amount
$308
General + Research + Ownership
Payments
17
Total payment records
General Amount
$308
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100818001202 | I | Internal Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 4,260 | 38 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 658 | 408 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 591 | 393 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 572 | 386 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 542 | 323 | $0 |
Insurance plans in this area (ZIP 75020)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| Internal Medicine | MO | |
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX |
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