Pavlinka Dundeva-Baleva, MD
NPI 1932358074 · Internal Medicine Physician · Ewing, NJ
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavlinka Dundeva-Baleva, MD is a Internal Medicine Physician provider in Ewing, NJ (NPI 1932358074).
Provider details
- NPI number
- 1932358074
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 25MA08452900 (NJ)
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
17 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
599 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 | 318 | $96 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 226 | $135 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $175 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 22 | $77 |
Typical Medicare-allowed amounts for these services range $77–$175 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 74 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 1,323 | 215 |
| Diclofenac Sodium | 799 | 186 |
| Gabapentin | 797 | 128 |
| Hydroxychloroquine Sulfate | 729 | 103 |
| Methotrexate Sodiumbrand: Methotrexate | 698 | 113 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 675 | 78 |
| Lidocaine | 351 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$99 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
Registry dates
- Enumerated
- 2008-09-12
- Last updated
- 2014-02-27
Frequently asked questions
- What is Pavlinka Dundeva-Baleva's NPI number?
- Pavlinka Dundeva-Baleva's National Provider Identifier (NPI) is 1932358074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavlinka Dundeva-Baleva's specialty?
- Pavlinka Dundeva-Baleva is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pavlinka Dundeva-Baleva located?
- Pavlinka Dundeva-Baleva's practice location on file with NPPES is 1901 N Olden Avenue Ext Ste 13a, Ewing, NJ 08618-2100.
- What is Pavlinka Dundeva-Baleva's phone number?
- The practice phone number listed in the NPPES registry for Pavlinka Dundeva-Baleva is (609) 883-1171.
- Does Pavlinka Dundeva-Baleva accept Medicare?
- Pavlinka Dundeva-Baleva is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pavlinka Dundeva-Baleva's NPI active?
- Yes — Pavlinka Dundeva-Baleva's NPI (1932358074) is active in the NPPES registry as of the last update on 2014-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.