Dr. Joshua Baalwa, MD
- Medicare services, 2024
- 3,799
- Medicare patients, 2024
- 971
- MIPS score, 2024
- 77
- Hospital affiliations
- 6
- Industry payments
- $236
- Practice address
- 1840 Amherst St, Winchester, VA 22601
- Practice phone
- Call (540) 536-8000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Baalwa's professional email, personal email and mobile number
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Dr. Joshua Baalwa is a pathologist in Winchester, Virginia
Dr. Baalwa practices at Winchester Medical Center in Winchester, Virginia, part of Valley Health.
Dr. Baalwa's NPI, 1720423270, was assigned on May 9, 2013. Dr. Baalwa holds Virginia license 0101281492.
- NPI
- 1720423270NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5698000529
- NPI enumeration date
- May 9, 2013
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (540) 536-8000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 54
- Medical school graduation
- 1998
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Joshua Baalwa practices at Winchester Medical Center in Winchester, Virginia
Dr. Baalwa's primary practice is Winchester Medical Center, at 1840 Amherst St, Winchester, VA 22601 in Winchester City. The practice phone is (540) 536-8000.
- Winchester Medical Center1840 Amherst St, Winchester, VA 22601 · Winchester CityPhone(540) 536-8000
Source: Dmand AI Affiliation Data
Dr. Joshua Baalwa is affiliated with 6 sites of care and 3 medical groups
Dr. Baalwa's primary practice is Winchester Medical Center in Winchester, Virginia, part of Valley Health. Dr. Baalwa is also affiliated with UAB Hospital. The medical group on file is PathGroup. Dmand AI also links Dr. Baalwa to 4 more hospitals and 2 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Joshua Baalwa's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Baalwa practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Winchester Medical Center | Available with a free account |
| +5 more sites and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Joshua Baalwa is one of 250 pathologists in Virginia
Anatomic pathology and clinical pathology is Dr. Baalwa's primary specialty in the NPI Registry, under taxonomy code 207ZP0102X. Dmand AI has Dr. Baalwa's licenses on file in 3 states: Virginia, Alabama and Texas.
Specialties and state licenses
- Anatomic pathology and clinical pathology, VirginiaPrimary
- Anatomic pathology, Alabama
- Texas license
Pathologists near Dr. Baalwa
Counts of pathologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Joshua Baalwa billed Medicare for 3,799 services in 2024
CMS data shows 3,799 Medicare services from Dr. Baalwa across 18 procedure codes in 2024, for 971 Medicare patients. Medicare paid $101,159 for them.
Dr. Baalwa's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Lab and pathology
- 2023: 462024: 3,7998159%
Where Dr. Baalwa's Medicare services took place, 2024
- In an office331%
- In a facility3,76699%
Dr. Baalwa compared with the Virginia median for pathologists, 2024
- Dr. Baalwa
- Virginia median
- Medicare services
- 3,799vs 1,7892.1 times
- Medicare patients
- 971vs 72833% above
Medians across 258 pathologists in Virginia with Dmand AI profiles that report each measure.
Dr. Baalwa's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Joshua Baalwa treated 971 Medicare patients in 2024, average age 74
CMS counts 971 Medicare patients who saw Dr. Baalwa in 2024. The largest group is 65 to 74, with 468 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 8% are also on Medicaid. Their average risk score is 1.32, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Baalwa's median patient age at 67, with 61% women.
Dr. Baalwa's Medicare patients by age, 2024
Dr. Baalwa's Medicare patients by sex, 2024
- Women54356%
- Men42844%
Chronic conditions among Dr. Baalwa's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis49%
- Ischemic heart disease34%
- Diabetes33%
- Chronic kidney disease30%
- Anxiety27%
- Cancer27%
Share of Medicare patients with each condition. A patient can have several.
Dr. Baalwa's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 67
Patient panel by sex, all payers
- Women61%
- Men36%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Joshua Baalwa scored 77 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 77 out of 100 for Dr. Baalwa for performance year 2024, reported as part of a group. Dr. Baalwa accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Baalwa's MIPS scores, performance year 2024
- 77of 100Final score
- 72.4of 100Quality
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Joshua Baalwa received $236 in industry payments from 2016 to 2019
CMS Open Payments shows 12 general payments to Dr. Baalwa from 7 drug and device companies from 2016 to 2019. Food and beverage make up the largest share, 89% of the total. Roche Diagnostics Corporation paid the most, $71.
General payments to Dr. Baalwa by program year, 2016 to 2019
General payments to Dr. Baalwa by kind, 2016 to 2019
- Food and beverage$21189%
- Education$2511%
Companies that paid Dr. Baalwa the most, 2016 to 2019
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Joshua Baalwa's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Joshua Baalwa
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Joshua Baalwa's NPI number?
Dr. Joshua Baalwa's NPI number is 1720423270. It was assigned on May 9, 2013, and it is active in the NPI Registry.
What kind of doctor is Dr. Joshua Baalwa?
Dr. Joshua Baalwa is a pathologist in Winchester, Virginia. The primary specialty in the NPI Registry is Anatomic Pathology & Clinical Pathology Physician (taxonomy code 207ZP0102X).
Where does Dr. Joshua Baalwa practice?
Dr. Baalwa practices at 1840 Amherst St, Winchester, VA 22601. Dr. Baalwa's primary practice is Winchester Medical Center in Winchester, Virginia, part of Valley Health. Dmand AI also links Dr. Baalwa to 4 hospitals and 2 medical groups.
What is Dr. Joshua Baalwa's office phone number?
The practice phone on file for Dr. Baalwa is (540) 536-8000.
What is Dr. Joshua Baalwa's medical license number?
Dr. Baalwa holds Virginia license 0101281492, one of the licenses on file in 3 states.
Which states has Dr. Joshua Baalwa been licensed in?
Dmand AI has state licenses on file for Dr. Baalwa in Virginia, Alabama and Texas.
Which hospitals is Dr. Joshua Baalwa affiliated with?
Dr. Baalwa practices at Winchester Medical Center in Winchester, Virginia. Dr. Baalwa is also affiliated with UAB Hospital. Dmand AI links Dr. Baalwa to 4 more hospitals.
What medical group is Dr. Joshua Baalwa part of?
Dr. Baalwa is linked to PathGroup. Dmand AI links Dr. Baalwa to 2 more medical groups.
Does Dr. Joshua Baalwa accept Medicare?
Yes. CMS data shows Dr. Baalwa billed Medicare for 3,799 services in 2024, and Dr. Baalwa accepts Medicare assignment.
What is Dr. Joshua Baalwa's MIPS score?
Dr. Baalwa's MIPS final score for performance year 2024 is 77 out of 100, reported as part of a group.
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How many Medicare patients does Dr. Joshua Baalwa see?
CMS counts 971 Medicare patients who saw Dr. Baalwa in 2024, with an average age of 74.
What services does Dr. Joshua Baalwa bill to Medicare?
In 2024, Dr. Baalwa's most billed Medicare services were lab and pathology test (88305), lab and pathology test (88341) and lab and pathology test (88342).
Has Dr. Joshua Baalwa received payments from drug or device companies?
CMS Open Payments shows $236 in general payments to Dr. Baalwa from 7 companies from 2016 to 2019. The largest total came from Roche Diagnostics Corporation.
How long has Dr. Joshua Baalwa been practicing?
Dr. Baalwa graduated from medical school in 1998, 28 years ago.
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