Virginia Balderston, M.D.
NPI 1487632311 · Internal Medicine Physician · Gibsonia, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Virginia Balderston, M.D. is a Internal Medicine Physician provider in Gibsonia, PA (NPI 1487632311).
Provider details
- NPI number
- 1487632311
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD045329L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
791 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 377 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 185 | $122 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 110 | $123 |
| Administration of Influenza Virus VaccineG0008 | 51 | $20 |
| Urinalysis, Manual Test81002 | 30 | $3 |
| Administration of Pneumococcal VaccineG0009 | 15 | $20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 163 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 944 | 277 |
| Levothyroxine Sodium | 759 | 182 |
| Amlodipine Besylate | 653 | 179 |
| Losartan Potassium | 605 | 166 |
| Rosuvastatin Calcium | 599 | 169 |
| Lisinopril | 546 | 146 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-30
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Frequently asked questions
- What is Virginia Balderston's NPI number?
- Virginia Balderston's National Provider Identifier (NPI) is 1487632311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Virginia Balderston's specialty?
- Virginia Balderston is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Virginia Balderston located?
- Virginia Balderston's practice location on file with NPPES is 5318 Ranalli Dr, Gibsonia, PA 15044-9653.
- What is Virginia Balderston's phone number?
- The practice phone number listed in the NPPES registry for Virginia Balderston is (724) 449-9355.
- Does Virginia Balderston accept Medicare?
- Virginia Balderston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Virginia Balderston's NPI active?
- Yes — Virginia Balderston's NPI (1487632311) is active in the NPPES registry as of the last update on 2023-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.