Valeska Balderas, MD
NPI 1588866370 · Gastroenterology Physician · Mcallen, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valeska Balderas, MD is a Gastroenterology Physician provider in Mcallen, TX (NPI 1588866370).
Provider details
- NPI number
- 1588866370
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M6034 (TX)
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
19 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
1,078 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 179 | $35 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 152 | $127 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 111 | $70 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 111 | $91 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 89 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 791 | 367 |
| Pantoprazole Sodium | 511 | 230 |
| Omeprazole | 286 | 139 |
| Linaclotidebrand: Linzess | 236 | 96 |
| Sucralfate | 188 | 78 |
| Dicyclomine Hcl | 179 | 74 |
| Lactulose | 164 | 78 |
| Lactulosebrand: Constulose |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$855 across 38 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)
- 801 E Nolana AveSuite 4Mcallen, TX 78504-6113Phone: (956) 686-2626Fax: (956) 686-1616
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2018-08-30
Frequently asked questions
- What is Valeska Balderas's NPI number?
- Valeska Balderas's National Provider Identifier (NPI) is 1588866370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valeska Balderas's specialty?
- Valeska Balderas is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Valeska Balderas located?
- Valeska Balderas's practice location on file with NPPES is 801 E Nolana Ave, Mcallen, TX 78504.
- What is Valeska Balderas's phone number?
- The practice phone number listed in the NPPES registry for Valeska Balderas is (956) 686-2626.
- Does Valeska Balderas accept Medicare?
- Valeska Balderas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valeska Balderas's NPI active?
- Yes — Valeska Balderas's NPI (1588866370) is active in the NPPES registry as of the last update on 2018-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.