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DR. LEN DOUGLAS BALKE MD
NPI 1992787527
Psychiatry & Neurology - Psychiatry in Prescott, AZ

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
1680 W IRON SPRINGS RD STE 103, PRESCOTT, AZ 86305(928) 235-6346(928) 421-3182 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Len Douglas Balke Md NPPES

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

DR. LEN DOUGLAS BALKE MD (NPI 1992787527) is an individual psychiatry provider in Prescott, Arizona, licensed in Arizona (46880) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1989).

NPPES Registry Identity

NPI1992787527
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LEN DOUGLAS BALKECredential: MD
Location Address1680 W IRON SPRINGS RD STE 103Prescott, AZ 86305-3313
Mailing Address845 Crystal View DrPrescott, AZ 86301-6696 · (928) 235-6346 · Fax (928) 421-3182
Phone(928) 235-6346
Fax(928) 421-3182
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1989
Enumeration DateNovember 18, 2005
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1992787527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AZ · 46880
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1680 W IRON SPRINGS RD STE 103, Prescott, AZ 86305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Len Douglas Balke 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.

PECOS PAC ID7315022159
PECOS Enrollment IDI20141118001889
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 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.

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.
127 services29 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
103 services26 patients
Psychotherapy with evaluation and management visit, 1 hour 90838
Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.
58 services23 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.
33 services14 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 86305 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 4

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

L. DOUGLAS BALKE MD PLC
Psychiatry & Neurology (Psychiatry)
1680 W IRON SPRINGS RD STE 103
PRESCOTT, AZ 86305
Yavapai County (928) 235-6346
MENTAL MENDING COUNSELING
Community/Behavioral Health
1680 W IRON SPRINGS RD STE 103
PRESCOTT, AZ 86305
Yavapai County (928) 899-0251
SERENE LIFE LLC
Nurse Practitioner (Psychiatric/Mental Health)
1680 W IRON SPRINGS RD STE 103
PRESCOTT, AZ 86305
Yavapai County (928) 362-0268
INGE GISELA BUNDCHEN FPMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1680 W IRON SPRINGS RD STE 103
PRESCOTT, AZ 86305
Yavapai County (928) 362-0268

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 Len Balke's NPI number?

The NPI number for Len Balke is 1992787527. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Len Balke located?

Len Balke practices at 1680 W Iron Springs Rd Ste 103, Prescott, AZ 86305. The listed phone number is (928) 235-6346.

What is Len Balke's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Len Balke enrolled in Medicare?

Yes. Len Balke 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.

What insurance does Len Balke accept?

Health plans from Blue Cross Blue Shield of Arizona list Len Balke 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.

When was this NPI record last updated?

The NPPES record for Len Balke was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.