Sandra Balmoria, MD
NPI 1023379153 · Family Medicine Physician · New Church, VA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sandra Balmoria, MD is a Family Medicine Physician provider in New Church, VA (NPI 1023379153).
Provider details
- NPI number
- 1023379153
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101254483 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
597 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 229 | $122 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 134 | $16 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 84 | $75 |
| Administration of Influenza Virus VaccineG0008 | 44 | $9 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 27 | $110 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 315 | 100 |
| Amlodipine Besylate | 213 | 78 |
| Gabapentin | 178 | 50 |
| Rosuvastatin Calcium | 167 | 55 |
| Pantoprazole Sodium | 163 | 55 |
| Omeprazole | 159 | 57 |
| Amlodipine Besylate/Valsartan |
Practice location
Mailing address
Additional practice locations (1)
- 1755 N Mecklenburg AveSouth Hill, VA 23970-4080Phone: (434) 584-2273Fax: (434) 774-2401
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2024-05-22
- Certified
- 2024-05-22
Frequently asked questions
- What is Sandra Balmoria's NPI number?
- Sandra Balmoria's National Provider Identifier (NPI) is 1023379153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sandra Balmoria's specialty?
- Sandra Balmoria is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sandra Balmoria located?
- Sandra Balmoria's practice location on file with NPPES is 5219 Lankford Highway, New Church, VA 23415-1715.
- What is Sandra Balmoria's phone number?
- The practice phone number listed in the NPPES registry for Sandra Balmoria is (757) 414-0400.
- Does Sandra Balmoria accept Medicare?
- Sandra Balmoria is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sandra Balmoria's NPI active?
- Yes — Sandra Balmoria's NPI (1023379153) is active in the NPPES registry as of the last update on 2024-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.