Dr. Bill M Balch , MD
Internal Medicine • Denison, TX
5012 S Us Highway 75, Suite 300
Denison, TX 750204587
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 10, 2006; this date does not establish years in practice.
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Published CMS data list 46,999 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1071 — Injection, testosterone cypionate, 1 mg: 25,300 service units.
- J1010 — Injection, methylprednisolone acetate, 1 mg: 11,642 service units.
- J0897 — Injection, denosumab, 1 mg: 4,202 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See all 33 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 12,314 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Levothyroxine Sodium — 509 prescription fills, including refills.
- Alprazolam — 480 prescription fills, including refills.
- Atorvastatin Calcium — 450 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 170 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Denison, TX (2024, 14 clinicians with data). Median for this group: 2,749. Middle half: 611 to 9,142.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,416 clinicians with data). Median for this group: 644. Middle half: 277 to 1,324.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 53,723 in 2020 to 46,999 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
5012 S Us Highway 75
Suite 300
Denison, TX 750204587
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Legacy Healthcare Services Inc; Texomacare; The Rehabilitation Center Therapeutic Solutions For Children And Adul. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Texas Southwestern Medical School At Dallas
1981
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
511 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $329,858 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $265,082 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
26,563 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$588,086 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $62.10 across 3 records.
By nature of payment
- Food and Beverage: $62.10 across 3 records.
Reporting-company totals
- Otsuka America Pharmaceutical, Inc.: $24.02 across 1 record.
- Corcept Therapeutics: $22.43 across 1 record.
- Amgen Inc.: $15.65 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
45 years (graduated 1981)
CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Balch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Balch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Denison and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Denison, TX (2024, 14 clinicians with data). Median for this group: 2,749. Middle half: 611 to 9,142.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,416 clinicians with data). Median for this group: 644. Middle half: 277 to 1,324.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Denison, TX (2024, 14 clinicians with data). Median for this group: $172,279. Middle half: $82,277 to $298,505.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,416 clinicians with data). Median for this group: $61,173. Middle half: $27,477 to $116,010.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Denison, TX (2024, 14 clinicians with data). Median for this group: $138,397. Middle half: $65,282 to $234,102.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,416 clinicians with data). Median for this group: $47,441. Middle half: $20,511 to $90,088.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Internal Medicine in Texas (2024, 5,686 clinicians with data). Median for this group: 817. Middle half: 119 to 4,816.
Too few clinicians listed under Internal Medicine in Denison have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Internal Medicine in Texas (2024, 5,686 clinicians with data). Median for this group: $63,521. Middle half: $3,954 to $436,184.
Too few clinicians listed under Internal Medicine in Denison have Medicare Part D data for 2024 to compare.
20 active clinicians are listed under Internal Medicine with a practice address in Denison, TX (9,234 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Denison
15% of these 20 clinicians have the CMS telehealth indicator.
55% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 13% from 53,723 in 2020 to 46,999 in 2024.
- 2020: 53,723
- 2021: 49,170
- 2022: 39,161
- 2023: 11,071
- 2024: 46,999
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Medicare-allowed amount
Medicare-allowed amount decreased 11% from $369,551 in 2020 to $329,858 in 2024.
- 2020: $369,551
- 2021: $393,550
- 2022: $353,696
- 2023: $342,896
- 2024: $329,858
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Paid by Medicare
Paid by Medicare stayed about the same: $291,295 in 2020 and $265,082 in 2024.
- 2020: $291,295
- 2021: $312,516
- 2022: $280,212
- 2023: $272,976
- 2024: $265,082
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 26% from 16,588 in 2020 to 12,314 in 2024.
- 2020: 16,588
- 2021: 15,706
- 2022: 14,659
- 2023: 13,167
- 2024: 12,314
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30-day fills
30-day fills decreased 19% from 32,636 in 2020 to 26,563 in 2024.
- 2020: 32,636
- 2021: 31,802
- 2022: 29,945
- 2023: 27,235
- 2024: 26,563
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Part D drug cost
Part D drug cost stayed about the same: $640,327 in 2020 and $588,086 in 2024.
- 2020: $640,327
- 2021: $568,678
- 2022: $558,787
- 2023: $606,907
- 2024: $588,086
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $100.15 in 2021 to $62.10 in 2025.
- 2021: $100.15
- 2022: $58.34
- 2023: $130.26
- 2024: $177.78
- 2025: $62.10
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $62.10.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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REXULTI | General | $24.02 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $22.43 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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EVENITY | General | $15.65 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1071
Injection, testosterone cypionate, 1 mg
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25,300 | 13 | $0.06 | $0.02 |
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J1010
Injection, methylprednisolone acetate, 1 mg
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11,642 | 62 | $1.01 | $0.13 |
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J0897
Injection, denosumab, 1 mg
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4,202 | 39 | $50.51 | $25.62 |
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36415
Insertion of needle into vein for collection of blood sample
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595 | 356 | $17.00 | $8.64 |
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80053
Blood test, comprehensive group of blood chemicals
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521 | 338 | $71.00 | $10.27 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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516 | 311 | $177.81 | $87.73 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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500 | 335 | $50.00 | $7.57 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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472 | 328 | $45.00 | $13.01 |
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84439
Thyroxine (thyroid chemical), free
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413 | 304 | $18.00 | $8.80 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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403 | 298 | $77.00 | $16.42 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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333 | 333 | $254.00 | $126.35 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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297 | 273 | $255.00 | $124.13 |
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96372
Injection of drug or substance under skin or into muscle
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275 | 118 | $49.00 | $13.80 |
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83036
Hemoglobin a1c level
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183 | 109 | $19.96 | $9.52 |
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81003
Automated urinalysis test
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153 | 144 | $8.00 | $2.17 |
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84153
Psa (prostate specific antigen) measurement, total
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130 | 118 | $37.00 | $17.88 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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129 | 35 | $81.00 | $40.39 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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121 | 81 | $339.20 | $167.61 |
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82044
Urine microalbumin (protein) analysis
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119 | 83 | $12.00 | $6.11 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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116 | 108 | $52.00 | $13.74 |
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81001
Manual urinalysis test with examination using microscope, automated
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99 | 84 | $6.93 | $3.11 |
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G0008
Administration of influenza virus vaccine
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94 | 92 | $61.29 | $31.03 |
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90662
Influenza vaccine split virus, preservative free
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90 | 88 | $168.00 | $80.72 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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61 | 29 | $36.00 | $9.71 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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53 | 40 | $154.72 | $76.46 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 509 | 43,339 | $4,518.73 | 136 |
| Alprazolam | Alprazolam | 480 | 16,699 | $2,618.34 | 77 |
| Atorvastatin Calcium | Atorvastatin Calcium | 450 | 37,247 | $4,789.01 | 128 |
| Gabapentin | Gabapentin | 338 | 20,063 | $5,632.14 | 83 |
| Pantoprazole Sodium | Pantoprazole Sodium | 338 | 23,840 | $4,128.19 | 86 |
| Amlodipine Besylate | Amlodipine Besylate | 335 | 26,770 | $1,542.22 | 94 |
| Furosemide | Furosemide | 330 | 21,537 | $1,662.22 | 103 |
| Potassium Chloride | Potassium Chloride | 274 | 16,958 | $4,611.51 | 69 |
| Losartan Potassium | Losartan Potassium | 266 | 21,927 | $2,592.45 | 71 |
| Metoprolol Succinate | Metoprolol Succinate | 258 | 20,600 | $2,878.69 | 72 |
| Simvastatin | Simvastatin | 241 | 20,760 | $2,285.44 | 65 |
| Tamsulosin Hcl | Tamsulosin Hcl | 232 | 17,950 | $2,627.95 | 65 |
| Omeprazole | Omeprazole | 227 | 18,576 | $3,254.82 | 63 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 216 | 6,322 | $5,409.83 | 35 |
| Metformin Hcl | Metformin Hcl | 207 | 16,950 | $1,583.71 | 59 |
| Clopidogrel | Clopidogrel Bisulfate | 202 | 17,049 | $2,020.84 | 57 |
| Trazodone Hcl | Trazodone Hcl | 201 | 8,736 | $870.73 | 38 |
| Tramadol Hcl | Tramadol Hcl | 192 | 5,317 | $1,368.17 | 57 |
| Lisinopril | Lisinopril | 176 | 15,359 | $1,213.75 | 51 |
| Metoprolol Tartrate | Metoprolol Tartrate | 171 | 12,721 | $1,281.90 | 46 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 170 | 14,181 | $2,789.09 | 51 |
| Glimepiride | Glimepiride | 164 | 14,390 | $1,923.50 | 46 |
| Citalopram Hbr | Citalopram Hydrobromide | 157 | 11,370 | $838.57 | 39 |
| Alendronate Sodium | Alendronate Sodium | 141 | 10,368 | $1,136.44 | 39 |
| Allopurinol | Allopurinol | 132 | 9,822 | $1,364.73 | 32 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20100818001202
TX
2062546591
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Texomacare
5012 S Us Hwy 75, Denison, TX 750204589
Phone: 9034166015
Legacy Healthcare Services Inc
5701 Virginia Pkwy, Mckinney, TX 750715652
Phone: 2145920212
The Rehabilitation Center Therapeutic Solutions For Children And Adul
1216 Hillcrest Dr, Sherman, TX 750925507
Texomacare
5012 S Us Hwy 75, Denison, TX 750204587
Legacy Healthcare Services Inc
800 College Pkwy, Lewisville, TX 750773503
Phone: 9724208543
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 5012 S US HWY 75, SUITE 300, ATTN BILLING, DENISON, TX 750204587 (Tel: 9034166015)
Registered at 5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 750204587 (Tel: 9034166015)
Recorded as BILL BALCH, MD
Internal Medicine (license number reported to NPPES: TX F9162)
Registered at 5012 S US HIGHWAY 75 STE 300, ATT BILLING, DENISON, TX 750204589 (Tel: 9034161726)
NPI status registered as active in NPPES database
Registered at 5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 750204587 (Tel: 9034166015)
Registered at PO BOX 844707, DALLAS, TX 752844707 (Tel: 9034166015)
Recorded as BILL BALCH, MD
Internal Medicine (license number reported to NPPES: TX F9162)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Denison
- Dr. Angelica Balingit, MD
- Dr. Charles Derbes, MD
- Dr. Robert Watson, MD
- Dr. Ted Truly, MD
- Dr. W Watkins, MD
- Dr. Mir Quadri, MD
Mailing Address
5012 S Us Hwy 75, Suite 300, Attn Billing
Denison, TX 750204587
Phone: 9034166015