Ofelia Balta, M.D.
NPI 1912980178 · Internal Medicine Physician · Sylva, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ofelia Balta, M.D. is a Internal Medicine Physician provider in Sylva, NC (NPI 1912980178).
Provider details
- NPI number
- 1912980178
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2003-00220 (NC)
Specialties & taxonomies
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
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
3,526 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,161 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 571 | $79 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 336 | $13 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 307 | $117 |
| Advance Care Planning, First 30 Minutes99497 | 300 | $77 |
| Automated Urinalysis Test81003 | 149 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 248 | 80 |
| Amlodipine Besylate | 181 | 64 |
| Gabapentin | 173 | 45 |
| Losartan Potassium | 161 | 56 |
| Omeprazole | 128 | 37 |
| Atorvastatin Calcium | 119 | 46 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,132 across 59 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
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Frequently asked questions
- What is Ofelia Balta's NPI number?
- Ofelia Balta's National Provider Identifier (NPI) is 1912980178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ofelia Balta's specialty?
- Ofelia Balta is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ofelia Balta located?
- Ofelia Balta's practice location on file with NPPES is 98 Cope Creek Rd Ste A-B, Sylva, NC 28779-9508.
- What is Ofelia Balta's phone number?
- The practice phone number listed in the NPPES registry for Ofelia Balta is (828) 586-7798.
- Does Ofelia Balta accept Medicare?
- Ofelia Balta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ofelia Balta's NPI active?
- Yes — Ofelia Balta's NPI (1912980178) is active in the NPPES registry as of the last update on 2023-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.