Percy Balderia, MD
NPI 1407296585 · Rheumatology Physician · Seattle, WA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Percy Balderia, MD is a Rheumatology Physician provider in Seattle, WA (NPI 1407296585).
Provider details
- NPI number
- 1407296585
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD60628991 (WA)
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
12 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
3,596 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 441 | $9 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 352 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 333 | $140 |
| 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 | 316 | $17 |
| Red Blood Cell Sedimentation Rate, to Detect Inflammation, Automated85652 | 315 | $3 |
| Measurement C-Reactive Protein for Detection of Infection Or Inflammation |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 492 | 166 |
| Methotrexate Sodiumbrand: Methotrexate | 455 | 118 |
| Allopurinol | 204 | 45 |
| Hydroxychloroquine Sulfate | 170 | 52 |
| Alendronate Sodium | 106 | 28 |
| Meloxicam | 93 | 29 |
| Folic Acid | 92 | 25 |
| Leflunomide |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-03
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Percy Balderia's NPI number?
- Percy Balderia's National Provider Identifier (NPI) is 1407296585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Percy Balderia's specialty?
- Percy Balderia is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Percy Balderia located?
- Percy Balderia's practice location on file with NPPES is 904 7th Ave Fl 4, Seattle, WA 98104.
- What is Percy Balderia's phone number?
- The practice phone number listed in the NPPES registry for Percy Balderia is (206) 860-5800.
- Does Percy Balderia accept Medicare?
- Percy Balderia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Percy Balderia's NPI active?
- Yes — Percy Balderia's NPI (1407296585) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.