ROBERT JUDSON BALCH III D.O.
NPI 1477751774
Physical Medicine & Rehabilitation in Fort Worth, TX

Q: What is Robert Balch's NPI number?

The NPI number for Robert Balch is 1477751774. It was assigned to this individual provider in the NPPES registry on July 7, 2007.

Q: What is Robert Balch's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Balch was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 07, 2007PECOS EnrolledAccepts Medicare Assignment

55.76/100

CMS Quality Rating

429 S BALLINGER ST, FORT WORTH, TX 76104(817) 984-6210(817) 984-6216 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Jun 22, 2018 (2 updates tracked since 2018).

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About Robert Judson Balch Iii D.o. NPPES

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

ROBERT JUDSON BALCH III D.O. (NPI 1477751774) is an individual physical medicine & rehabilitation provider in Fort Worth, Texas, licensed in Texas (M6513) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477751774

Entity TypeIndividualMale

Primary Taxonomy208100000X

Provider Legal NameROBERT JUDSON BALCH IIICredential: D.O.

Location Address429 S BALLINGER STFort Worth, TX 76104-1008

Mailing Address429 S Ballinger StFort Worth, TX 76104-1008 · (817) 984-6210 · Fax (817) 984-6216

Phone(817) 984-6210

Fax(817) 984-6216

Sole ProprietorYes

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2005

Enumeration DateJuly 7, 2007

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1477751774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians

Taxonomy Code208100000X

License✔ Licensed in TX · M6513

Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License M6513 (TX)

429 S BALLINGER ST, Fort Worth, TX 76104

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Secondary Practice Locations 2

Location 14319 Camp Bowie BlvdFort Worth, TX 76107-3893 · Phone (817) 984-6210 · Fax (817) 984-6216

Location 2806 Old Cleburne RdGranbury, TX 76048-1422 · Phone (817) 984-6210

Other Identifiers 1

Other0068WBTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Robert Judson Balch Iii D.o. 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 ID4880784677

PECOS Enrollment IDI20110519000036

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

Medicare enrollment records show Robert Balch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balch Interventional Pain And Wellness Center PLLC

Same address

Physical Medicine & Rehabilitation

429 S BALLINGER ST
Fort Worth, TX 76104

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1639410954 (817) 984-6210

Pain And Headache Center, LLC

3,032 mi

Interventional Pain Medicine

851 E WESTPOINT DR STE B6
Wasilla, AK 99654

Reassigned Medicare billing, Alaska enrollment
7 clinicians in this Medicare group

NPI 1518300185 (907) 357-3740

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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,744 services678 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

855 services168 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

293 services164 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

78 services75 patients

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.

66 services66 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

44 services44 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

42 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

33 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450137

Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County

Birthing friendly

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450203

Location713 E Anderson StWeatherford, TX 76086 · Parker County

Emergency services Birthing friendly

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450677

Location11801 South FreewayBurleson, TX 76028 · Johnson County

Emergency services Birthing friendly

Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center

Acute Care Hospitals · Carrollton, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450730

Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

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.

55.76/100

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

Individually scored

Quality

52.18

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

60%443 patients3/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%29 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

65%3,863 patients3/55-star benchmark: 100%

e-Prescribing

100%2,326 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

20%368 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

16%876 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

11%835 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

5%1,670 patients1/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

12%906 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims11 services$54.72 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers20 claims20 services$45.51 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.43 avg. paid by Medicare

Heel loop/holder, any type, with or without ankle strap, each E0951

DME-Wheelchairs · category DD000N

5 suppliers15 claims30 services$10.11 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

6 suppliers19 claims38 services$26.50 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

4 suppliers16 claims32 services$49.22 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 5

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

ABIGAIL ADEL BURNS FNP-C

Nurse Practitioner