Raisa Balbuena Merle, M.D.
NPI 1699039362 · Anatomic Pathology & Clinical Pathology Physician · New Haven, CT
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raisa Balbuena Merle, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in New Haven, CT (NPI 1699039362).
Provider details
- NPI number
- 1699039362
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 61662 (CT)
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
13 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
247 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) |
|---|---|---|
| Blood Smear Interpretation By Physician With Written Report85060 | 210 | $24 |
| Cell Examination of Body Fluid, Smears88104 | 37 | $27 |
Typical Medicare-allowed amounts for these services range $24–$27 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-27
- Last updated
- 2019-05-21
Frequently asked questions
- What is Raisa Balbuena Merle's NPI number?
- Raisa Balbuena Merle's National Provider Identifier (NPI) is 1699039362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raisa Balbuena Merle's specialty?
- Raisa Balbuena Merle is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Raisa Balbuena Merle located?
- Raisa Balbuena Merle's practice location on file with NPPES is 33 Cedar St, New Haven, CT 06519-2355.
- What is Raisa Balbuena Merle's phone number?
- The practice phone number listed in the NPPES registry for Raisa Balbuena Merle is (203) 688-2446.
- Does Raisa Balbuena Merle accept Medicare?
- Raisa Balbuena Merle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raisa Balbuena Merle's NPI active?
- Yes — Raisa Balbuena Merle's NPI (1699039362) is active in the NPPES registry as of the last update on 2019-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.