James Clifford Balvich, M.D.
NPI 1033434873ActiveIndividual· Hospitalist· Scottsdale, AZ
Hospitalist (M.D.) in Scottsdale, Arizona, trained at Vanderbilt University School of Medicine (class of 2010). Mostly services rather than prescriptions: Medicare paid $49,182 for 361 patients in 2024, with only 31 Part D claims.
Overview
| NPI | 1033434873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 5, 2010 |
| Last updated in NPPES | May 20, 2026 |
| Certified by provider | May 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 79320 | AZ |
| Internal Medicine | 207R00000X | 49938 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (AZ); Practitioner - Internal Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 361 |
|---|---|
| Services billed | 419 across 8 procedure codes |
| Paid by Medicare | $49,182 |
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 33 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $937.99 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Vanderbilt University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Hospitalist |
Medical groups
- Mayo Clinic ArizonaScottsdale, AZ · 1,626 clinicians
- Memorial Health Partners Foundation IncSyracuse, IN · 485 clinicians
Hospital affiliations
- Commonspirit-Memorial Hospital-North GeorgiaRinggold, GA
- Mayo Clinic HospitalPhoenix, AZ
- Memorial Healthcare System, IncChattanooga, TN
- Rhea Medical CenterDayton, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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