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DR. DAVID ALAN BALLANCE MD
NPI 1881654820
Family Medicine in Boise, ID

Active since March 24, 2006PECOS Enrolled
75.51/100
CMS Quality Rating
1075 N CURTIS RD, SUITE 100, BOISE, ID 83706(208) 377-5166(208) 375-0599 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Alan Ballance Md NPPES

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

DR. DAVID ALAN BALLANCE MD (NPI 1881654820) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M7480) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (1995).

NPPES Registry Identity

NPI1881654820
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID ALAN BALLANCECredential: MD
Location Address1075 N CURTIS RD, SUITE 100Boise, ID 83706-1300
Mailing Address1075 N Curtis Rd, Suite 100Boise, ID 83706-1300 · (208) 377-5166 · Fax (208) 375-0599
Phone(208) 377-5166
Fax(208) 375-0599
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1995
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 24, 2012
✔ NPI 1881654820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M7480
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1075 N CURTIS RD, Boise, ID 83706
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified1115400
Medicare UPING77852

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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)

Dr. David Alan Ballance Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901857093
PECOS Enrollment IDI20050207000260
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 8

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 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.
888 services248 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
450 services191 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.
410 services179 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
236 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
143 services143 patients
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.
82 services59 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

75.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.51
Improvement Activities40
Cost37.7

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%284 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
78%40 patients4/55-star benchmark: 100%
Breast Cancer Screening
54%528 patients3/55-star benchmark: 93%
Cervical Cancer Screening
41%699 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
24%204 patients
Closing the Referral Loop: Receipt of Specialist Report
26%198 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
27%1,213 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
82%683 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
25%224 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%224 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
79%12,717 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
37%844 patients2/55-star benchmark: 100%
HIV Screening
2%1,632 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%2,326 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
46%1,770 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%6,880 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 2,183 patients
0%2,183 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%400 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 843 patients
Patients totalRate: 14% · 889 patients
13%889 patients3/55-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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers32 claims57 services$6.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$26.79 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.

JENNIFER D LOUWSMA ATC
Specialist/Technologist (Athletic Trainer)
1075 N CURTIS RD, SUITE 300
BOISE, ID 83706
Ada County (208) 323-2600
CANDICE J HOMAN CST
1075 N CURTIS RD, SUITE 300
BOISE, ID 83706
Ada County (208) 323-2600
DAVID FARMER CST
1075 N CURTIS RD, STE 300
BOISE, ID 83706
Ada County (208) 323-2600
KENT E HAMILTON ATC
Specialist/Technologist (Athletic Trainer)
1075 N CURTIS RD, SUITE 300
BOISE, ID 83706
Ada County (208) 323-2600
DR. PAULA G CARVALHO MD
Internal Medicine (Critical Care Medicine)
1075 N CURTIS RD, SUITE 200
BOISE, ID 83706
Ada County (208) 367-8333
JENNIFER KIENLEN MS, AG-ACNP
Nurse Practitioner (Acute Care)
1075 N CURTIS RD, SUITE 250
BOISE, ID 83706
Ada County (208) 367-8333
LESLIE ANN STOUT CST
1075 N CURTIS RD, SUITE 300
BOISE, ID 83706
Ada County (208) 323-2600
HEALING SENSE CORPORATION
Family Medicine
1075 N CURTIS RD, STE 100
BOISE, ID 83706
Ada County (208) 377-5166

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 Ballance's NPI number?

The NPI number for David Ballance is 1881654820. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is David Ballance located?

David Ballance practices at 1075 N Curtis Rd Suite 100, Boise, ID 83706. The listed phone number is (208) 377-5166.

What is David Ballance's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Ballance enrolled in Medicare?

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

What insurance does David Ballance accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list David Ballance 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 David Ballance affiliated with any hospitals?

According to CMS data, David Ballance is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for David Ballance was last updated on October 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.