DR. JAMES CLIFFORD BALVICH M.D.
NPI 1033434873
Hospitalist in Scottsdale, AZ

Q: What is James Balvich's NPI number?

The NPI number for James Balvich is 1033434873. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Q: What is James Balvich's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for James Balvich was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment

13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Mar 23, 2026, Jan 7, 2026 and 1 more (4 updates tracked since 2022).

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About Dr. James Clifford Balvich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES CLIFFORD BALVICH M.D. (NPI 1033434873) is an individual hospitalist provider in Scottsdale, Arizona, licensed in Arizona (79320) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of Vanderbilt University School Of Medicine (2010).

NPPES Registry Identity

NPI1033434873

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. JAMES CLIFFORD BALVICHCredential: M.D.

Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912

Phone(480) 301-8000

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2010

Enumeration DateApril 5, 2010

Last NPPES UpdateMay 20, 20264 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1033434873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in AZ · 79320

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 49938 (TN)

13400 E SHEA BLVD, Scottsdale, AZ 85259

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Clifford Balvich M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567611262

PECOS Enrollment IDI20130911000778, I20260414003080

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

349 services341 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number110236

Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County

Emergency services

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440058

Location185 Hospital RoadWinchester, TN 37398 · Franklin County

Emergency services Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Rhea Medical Center

Critical Access Hospitals · Dayton, TN

OwnershipGovernment - Local

CMS Certification Number441310

Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers21 claims21 services$57.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers29 claims29 services$16.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers51 claims51 services$77.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$32.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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