Doctor profile · Federal record

Dr. Karl Balch, M.D.

Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery Physician · Student in an Organized Health Care Education/Training Program · Bakersfield, CA

  • NPI 1902127525
  • Accepts Medicare
  • MIPS 77.6 / 100 · 2023
  • 16 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5201 Truxtun Ave
Bakersfield, CA 933090421
(661) 328-5565
fax (661) 328-5573
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 900455631

Credentials & registration

NPPES · NUCC
NPI registered
June 2010 — 16 yrs on file
Profile last updated
April 16, 2025
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
207X00000X — NUCC code
State licenses (3)
California #A149214 · Ohio #NONE · Virginia #0116029604

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1902127525. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
4,766
Distinct HCPCS
10
Medicare allowed
$346,106
HCPCS Description Services Patients Avg allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 1,968 24 $9
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 848 123 $1
99213 Established patient office or other outpatient visit, 20-29 minutes 498 329 $93
99214 Established patient office or other outpatient visit, 30-39 minutes 296 235 $132
20610 Aspiration and/or injection of fluid from large joint 215 142 $77
73564 X-ray of knee, 4 or more views 190 184 $50
73502 X-ray of hip, 2-3 views 170 133 $50
73562 X-ray of knee, 3 views 150 103 $44
20985 Computer-assisted surgery for muscle and bone procedure 126 123 $145
99203 New patient office or other outpatient visit, 30-44 minutes 94 94 $115

In context: peer comparison

Among 7 peers in this city , average services per provider: 214. This provider delivers 22× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$87
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Smith+Nephew, Inc. 2 $42.59
Becton, Dickinson and Company 1 $26.76
VERTEX PHARMACEUTICALS INCORPORATED 1 $17.25

By nature of payment

Food and Beverage
$87

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,079
Patients
702
Total drug cost
$29,632
Drug Type Claims Patients Total cost
Ondansetron Hcl Generic 250 211 $2,809
Meloxicam Generic 220 103 $2,288
Diclofenac Sodium Generic 151 96 $3,360
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 143 106 $1,821
Gabapentin Generic 69 26 $502
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 69 61 $694
Ibuprofen Generic 34 14 $271
Tramadol Hcl Generic 34 28 $120
Cephalexin Generic 28 23 $258
Eliquis (Apixaban) Brand 26 20 $14,059

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Karl Balch's medical specialty?
Dr. Karl Balch practices Orthopaedic Surgery Physician in Bakersfield, CA.
Where does Dr. Karl Balch practice?
Dr. Karl Balch practices at 5201 Truxtun Ave, Bakersfield, CA 933090421. Office phone: 6613285565.
What is Dr. Karl Balch's NPI?
Dr. Karl Balch's National Provider Identifier (NPI) is 1902127525, issued by NPPES.
Does Dr. Karl Balch accept Medicare assignment?
Yes. Dr. Karl Balch accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Karl Balch commonly perform?
Top Medicare-reported procedures in 2023: Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS J7325); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.