Marguerite Balasta, M.D.
NPI 1396034211 · Hospitalist Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marguerite Balasta, M.D. is a Hospitalist Physician provider in Philadelphia, PA (NPI 1396034211).
Provider details
- NPI number
- 1396034211
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD455086 (PA)
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
15 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
292 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 | 129 | $67 |
| 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 | 75 | $17 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 46 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 18 | $50 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 13 | $112 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 180 | 58 |
| Amlodipine Besylate | 111 | 44 |
| Rosuvastatin Calcium | 88 | 31 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 75 | 22 |
| Semaglutidebrand: Ozempic | 72 | 16 |
| Lisinopril | 70 | 19 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2022-07-21
Frequently asked questions
- What is Marguerite Balasta's NPI number?
- Marguerite Balasta's National Provider Identifier (NPI) is 1396034211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marguerite Balasta's specialty?
- Marguerite Balasta is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Marguerite Balasta located?
- Marguerite Balasta's practice location on file with NPPES is 3701 Market St Ste 760, Philadelphia, PA 19104-5508.
- What is Marguerite Balasta's phone number?
- The practice phone number listed in the NPPES registry for Marguerite Balasta is (215) 349-5200.
- Does Marguerite Balasta accept Medicare?
- Marguerite Balasta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marguerite Balasta's NPI active?
- Yes — Marguerite Balasta's NPI (1396034211) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.