GLEN C. BALCH MD
NPI 1114123163
Surgery - Surgical Oncology in Dallas, TX

Q: What is Glen Balch's NPI number?

The NPI number for Glen Balch is 1114123163. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Q: What is Glen Balch's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Glen Balch was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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 June 26, 2007PECOS Enrolled

92.26/100

CMS Quality Rating

5323 HARRY HINES BLVD, UNIVERSITY OF TEXAS SOUTHWESTERN UNIVERSITY, DALLAS, TX 75390(214) 648-5870(214) 648-1118 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Glen C. Balch Md NPPES

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

GLEN C. BALCH MD (NPI 1114123163) is an individual surgical oncology provider in Dallas, Texas, licensed in Texas (N4276) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114123163

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameGLEN C. BALCHCredential: MD

Location Address5323 HARRY HINES BLVD, UNIVERSITY OF TEXAS SOUTHWESTERN UNIVERSITYDallas, TX 75390-8548

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 648-5870 · Fax (214) 648-1118

Phone(214) 648-5870

Fax(214) 648-1118

Sole ProprietorNo

Enumeration DateJune 26, 2007

Last NPPES UpdateJanuary 7, 2010

✔ NPI 1114123163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in TX · N4276

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License 036-118605 (IL)

5323 HARRY HINES BLVD, Dallas, TX 75390

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Other Identifiers 2

Other036-118605IL · Il State Lic

OtherN4276TX · Tx State Medical Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Glen C. Balch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

2 suppliers11 claims111 services$2.31 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

3 suppliers14 claims54 services$5.33 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

4 suppliers14 claims430 services$6.01 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

3 suppliers21 claims580 services$3.46 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

3 suppliers13 claims800 services$0.21 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

3 suppliers11 claims600 services$0.23 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.

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant