Teresita Balderas, M.D.
NPI 1306989975 · Psychiatry Physician · San Antonio, TX
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teresita Balderas, M.D. is a Psychiatry Physician provider in San Antonio, TX (NPI 1306989975).
Provider details
- NPI number
- 1306989975
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- L0757 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
305 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) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 197 | $49 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 83 | $78 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 13 | $171 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 12 | $80 |
Typical Medicare-allowed amounts for these services range $49–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2014-04-03
Frequently asked questions
- What is Teresita Balderas's NPI number?
- Teresita Balderas's National Provider Identifier (NPI) is 1306989975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teresita Balderas's specialty?
- Teresita Balderas is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Teresita Balderas located?
- Teresita Balderas's practice location on file with NPPES is 84 Ne Loop 410, San Antonio, TX 78216-5802.
- What is Teresita Balderas's phone number?
- The practice phone number listed in the NPPES registry for Teresita Balderas is (210) 344-0506.
- Does Teresita Balderas accept Medicare?
- Teresita Balderas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Teresita Balderas's NPI active?
- Yes — Teresita Balderas's NPI (1306989975) is active in the NPPES registry as of the last update on 2014-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.