DR. JAMES CHRISTOPHER BALVICH MD
NPI 1427020163
Internal Medicine in Kernersville, NC
About Dr. James Christopher Balvich Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES CHRISTOPHER BALVICH MD (NPI 1427020163) is an individual internal medicine provider in Kernersville, North Carolina, licensed in North Carolina (2011-01983) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Christopher Balvich Md 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.
Medicare Billing Reassignments
11Medicare enrollment records show James Balvich reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 158 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Thomasville, NC 27360
- Reassigned Medicare billing, North Carolina enrollment
- 152 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 159 clinicians in this Medicare group
Eden, NC 27288
- Reassigned Medicare billing, North Carolina enrollment
- 53 clinicians in this Medicare group
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 96 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Raeford, NC 28376
- Reassigned Medicare billing, North Carolina enrollment
- 97 clinicians in this Medicare group
Henderson, NC 27536
- Reassigned Medicare billing, North Carolina enrollment
- 24 clinicians in this Medicare group
Dunn, NC 28334
- Reassigned Medicare billing, North Carolina enrollment
- 373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCUnc Rockingham
Acute Care Hospitals · Eden, NCNovant Health Thomasville Medical Center
Acute Care Hospitals · Thomasville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27284 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KERNERSVILLE, NC 27284
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 James Balvich's NPI number?
The NPI number for James Balvich is 1427020163. It was assigned to this individual provider in the NPPES registry on February 6, 2006.
Where is James Balvich located?
James Balvich practices at 1750 Kernersville Medical Pkwy, Kernersville, NC 27284. The listed phone number is (336) 556-4000.
What is James Balvich's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is James Balvich enrolled in Medicare?
Yes. James Balvich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for James Balvich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Balvich reassigns Medicare benefits to 11 organizations: Kernersville Emergency Group, PLLC (Kernersville, NC), Novant Health Thomasville Medical Center, LLC (Kernersville, NC), Piedmont Triad Physicians, PLLC (Thomasville, NC), Tanglewood Park Physicians, PLLC (Clemmons, NC), Nc Emergency Physician Services, PLLC (Eden, NC) and 6 more organizations, listed in the Medicare section above. 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 James Balvich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Balvich accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health and 3 other insurers list James Balvich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is James Balvich affiliated with any hospitals?
According to CMS data, James Balvich is affiliated with Novant Health Forsyth Medical Center, Unc Rockingham and Novant Health Thomasville Medical Center.
When was this NPI record last updated?
The NPPES record for James Balvich was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. James Christopher Balvich, MD · NPI 1427020163
Internal Medicine physician in Kernersville, North Carolina. Individual provider, active in the CMS NPPES registry since February 6, 2006.
## Identity
- **NPI:** 1427020163 (Entity type: Individual)
- **Enumerated:** February 6, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2011-01983 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284-7146
- **Phone:** (336) 556-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Kernersville Emergency Group, PLLC (NPI 1750852034, Kernersville, NC); Novant Health Thomasville Medical Center, LLC (NPI 1477399038, Kernersville, NC); Piedmont Triad Physicians, PLLC (NPI 1295206464, Thomasville, NC); Tanglewood Park Physicians, PLLC (NPI 1093286379, Clemmons, NC); Nc Emergency Physician Services, PLLC (NPI 1518374800, Eden, NC); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1427020163) · Data from the CMS NPPES public registry.