Margaret Balya, M.D.
NPI 1427107242 · Psychiatry Physician · Medford, MA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Margaret Balya, M.D. is a Psychiatry Physician provider in Medford, MA (NPI 1427107242).
Provider details
- NPI number
- 1427107242
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 222297 (MA)
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
491 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 | 174 | $90 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 139 | $119 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 42 | $136 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 42 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 34 | $62 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clonazepam | 360 | 46 |
| Lorazepam | 217 | 41 |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 154 | 22 |
| Trazodone Hcl | 145 | 41 |
| Lamotrigine | 144 | 27 |
| Sertraline Hcl | 122 | 32 |
| Venlafaxine Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2011-09-07
Frequently asked questions
- What is Margaret Balya's NPI number?
- Margaret Balya's National Provider Identifier (NPI) is 1427107242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Margaret Balya's specialty?
- Margaret Balya is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Margaret Balya located?
- Margaret Balya's practice location on file with NPPES is 26 City Hall Mall, Medford, MA 02155-4754.
- What is Margaret Balya's phone number?
- The practice phone number listed in the NPPES registry for Margaret Balya is (781) 306-5463.
- Does Margaret Balya accept Medicare?
- Margaret Balya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Margaret Balya's NPI active?
- Yes — Margaret Balya's NPI (1427107242) is active in the NPPES registry as of the last update on 2011-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.