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DR. DAVID G.R. BALCH MD
NPI 1164556353
Surgery in San Diego, CA

Active since March 16, 2007PECOS Enrolled
4060 FOURTH AVE STE 440, SAN DIEGO, CA 92103(619) 298-8891(619) 298-4997 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About Dr. David G.r. Balch Md NPPES

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

DR. DAVID G.R. BALCH MD (NPI 1164556353) is an individual surgery provider in San Diego, California, licensed in Arizona (38051) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164556353
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID G.R. BALCHCredential: MD
Location Address4060 FOURTH AVE STE 440San Diego, CA 92103-2183
Mailing Address1325 N. Rose Dr, Ste 210Placentia, CA 92870-3800 · (714) 961-5804 · Fax (714) 961-5809
Phone(619) 298-8891
Fax(619) 298-4997
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1164556353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 38051
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4060 FOURTH AVE STE 440, San Diego, CA 92103
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Other Identifiers 4

OtherLL1421NV · Medical License
OtherGW921ZCA · Ptan
Other38051AZ · Medical License
OtherC55497CA · Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David G.r. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show David Balch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency And Acute Care Medical Corporation
3.4 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400
Southwest Medical Associates, LLC
629 mi
General Practice
6701 JEFFERSON ST NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 554 clinicians in this Medicare group
NPI 1164491072 (505) 727-6200
University Of Maryland Community Medical Group, Inc.
2,278 mi
Psychiatry
5 GARRETT AVE
La Plata, MD 20646
  • Reassigned Medicare billing, Maryland enrollment
  • 966 clinicians in this Medicare group
NPI 1679393854 (301) 609-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Balch's NPI number?

The NPI number for David Balch is 1164556353. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is David Balch located?

David Balch practices at 4060 Fourth Ave Ste 440, San Diego, CA 92103. The listed phone number is (619) 298-8891.

What is David Balch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Balch enrolled in Medicare?

Yes. David Balch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Balch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Balch reassigns Medicare benefits to 3 organizations: Emergency And Acute Care Medical Corporation (San Diego, CA), Southwest Medical Associates, LLC (Albuquerque, NM) and University Of Maryland Community Medical Group, Inc. (La Plata, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Balch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Balch was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.