Erica Niedbalec, M.D.
NPI 1518109438 · Hospitalist Physician · Niskayuna, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erica Niedbalec, M.D. is a Hospitalist Physician provider in Niskayuna, NY (NPI 1518109438).
Provider details
- NPI number
- 1518109438
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35395 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
211 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 211 | $159 |
Typical Medicare-allowed amounts for these services range $159–$159 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$67 across 2 records (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
Additional practice locations (1)
- 200 Abraham Flexner WayLouisville, KY 40202-2877Phone: (502) 587-4267
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Erica Niedbalec's NPI number?
- Erica Niedbalec's National Provider Identifier (NPI) is 1518109438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erica Niedbalec's specialty?
- Erica Niedbalec is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Erica Niedbalec located?
- Erica Niedbalec's practice location on file with NPPES is 2497 Rosendale Rd, Niskayuna, NY 12309-1309.
- What is Erica Niedbalec's phone number?
- The practice phone number listed in the NPPES registry for Erica Niedbalec is (518) 466-6887.
- Does Erica Niedbalec accept Medicare?
- Erica Niedbalec is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erica Niedbalec's NPI active?
- Yes — Erica Niedbalec's NPI (1518109438) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.