Stephen Dale Balka, NP
- Medicare patients, 2024
- 287
- Part D claims, 2024
- 4,942
- MIPS score, 2024
- 95
- Hospital affiliations
- 3
- Industry payments
- $20
- Practice address
- 191 Fox Hill Rd, Hampton, VA 23669-2360
- Practice phone
- Call (757) 850-1311
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Elizabeth Lakes Family Practice
Multi-specialty group site · Hampton, Virginia
Find Stephen Balka's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Stephen Dale Balka is a family nurse practitioner in Hampton, Virginia
Stephen Balka practices at Elizabeth Lakes Family Practice in Hampton, Virginia.
Stephen Balka's NPI, 1972153450, was assigned on September 16, 2019. Stephen Balka holds Virginia license 0024178215.
- NPI
- 1972153450NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7113351651
- NPI enumeration date
- September 16, 2019
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (757) 850-1311
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 33
- Medical school graduation
- 2019
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Stephen Dale Balka practices at Elizabeth Lakes Family Practice in Hampton, Virginia
Stephen Balka's primary practice is Elizabeth Lakes Family Practice, at 191 Fox Hill Rd, Hampton, VA 23669-2360. The practice phone is (757) 850-1311.
- Elizabeth Lakes Family Practice191 Fox Hill Rd, Hampton, VA 23669-2360Phone(757) 850-1311
Source: Dmand AI Affiliation Data
Stephen Dale Balka is affiliated with 5 sites of care and 1 medical group
Stephen Balka's primary practice is Elizabeth Lakes Family Practice in Hampton, Virginia. Stephen Balka is also affiliated with Sentara CarePlex Hospital. The medical group on file is Riverside Gastroenterology Specialists. Dmand AI also links Stephen Balka to 2 more hospitals and 1 home health agency, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Stephen Dale Balka's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Stephen Balka practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Elizabeth Lakes Family Practice | Available with a free account |
| +4 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Stephen Dale Balka is one of 4,876 family nurse practitioners in Virginia
Family is Stephen Balka's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Stephen Balka is licensed in Virginia.
Specialties and state licenses
- Family nurse practitioner, VirginiaPrimary
Family nurse practitioners near Stephen Balka
Counts of family nurse practitioners 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
Stephen Dale Balka treated 287 Medicare patients in 2024, average age 73
CMS counts 287 Medicare patients who saw Stephen Balka in 2024. The largest group is 65 to 74, with 136 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 9% are also on Medicaid. Their average risk score is 1.13, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Stephen Balka's median patient age at 56, with 67% women.
Stephen Balka's Medicare patients by age, 2024
Stephen Balka's Medicare patients by sex, 2024
- Women17862%
- Men10938%
Chronic conditions among Stephen Balka's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis53%
- Diabetes33%
- Anxiety26%
- Mood disorders26%
- Chronic kidney disease25%
- Depression20%
Share of Medicare patients with each condition. A patient can have several.
Stephen Balka's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 56
Patient panel by sex, all payers
- Women67%
- Men33%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Stephen Dale Balka wrote 4,942 Medicare Part D claims in 2024
In 2024, Stephen Balka wrote 4,942 Medicare Part D claims for 516 patients. 90% of them were for generic drugs.
Stephen Balka's Part D claims by kind of drug, 2024
- Generic4,438 claims90%
- Brand-name475 claims10%
- Other29 claims1%
Drug classes CMS tracks in Stephen Balka's Part D claims, 2024
- Opioids4%222 of 4,942 claims
- Antibiotics6%276 of 4,942 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Stephen Dale Balka scored 95 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Stephen Balka for performance year 2024, reported through an alternative payment model (APM). Stephen Balka accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Stephen Balka as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Stephen Balka's MIPS scores, performance year 2024
- 95of 100Final score
- 92.9of 100Quality
- 95of 100Promoting Interoperability
- 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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Stephen Dale Balka received $20 in industry payments in 2025
CMS Open Payments shows 1 general payment to Stephen Balka from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Novo Nordisk Inc paid the most, $20.
Companies that paid Stephen Balka the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Stephen Dale Balka'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 Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - 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 Stephen Dale Balka
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Stephen Dale Balka's NPI number?
Stephen Dale Balka's NPI number is 1972153450. It was assigned on September 16, 2019, and it is active in the NPI Registry.
What does Stephen Dale Balka specialize in?
Stephen Dale Balka is a family nurse practitioner in Hampton, Virginia. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).
Where does Stephen Dale Balka practice?
Stephen Balka practices at 191 Fox Hill Rd, Hampton, VA 23669-2360. Stephen Balka's primary practice is Elizabeth Lakes Family Practice in Hampton, Virginia. Dmand AI also links Stephen Balka to 2 hospitals and 1 home health agency.
What is Stephen Dale Balka's office phone number?
The practice phone on file for Stephen Balka is (757) 850-1311.
What is Stephen Dale Balka's medical license number?
Stephen Balka holds Virginia license 0024178215.
Which hospitals is Stephen Dale Balka affiliated with?
Stephen Balka is affiliated with Sentara CarePlex Hospital. Dmand AI links Stephen Balka to 2 more hospitals.
What medical group is Stephen Dale Balka part of?
Stephen Balka is linked to Riverside Gastroenterology Specialists.
Does Stephen Dale Balka accept Medicare?
Yes. CMS lists Stephen Balka as accepting Medicare assignment.
Does Stephen Dale Balka offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Stephen Balka as offering telehealth services.
What is Stephen Dale Balka's MIPS score?
Stephen Balka's MIPS final score for performance year 2024 is 95 out of 100, reported through an alternative payment model (APM).
Show 3 more questionsShow fewer questions
How many Medicare patients does Stephen Dale Balka see?
CMS counts 287 Medicare patients who saw Stephen Balka in 2024, with an average age of 73.
Has Stephen Dale Balka received payments from drug or device companies?
CMS Open Payments shows $20 in general payments to Stephen Balka from 1 company from 2025 to 2025. The largest total came from Novo Nordisk Inc.
How long has Stephen Dale Balka been practicing?
Stephen Balka graduated from medical school in 2019, 7 years ago.
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