Doctor profile · Federal record
Dr. Virginia Balderston, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Gibsonia, PA
- NPI 1487632311
- Accepts Medicare
- MIPS 78.5 / 100 · 2023
- 37 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5318 Ranalli Dr
Gibsonia, PA 150449653
(724) 449-9355
fax (724) 449-2727
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- January 23, 2023
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Pennsylvania #MD045329L
- Medicaid
- PA #001536060000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1487632311. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
870
Distinct HCPCS
10
Medicare allowed
$76,946
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 347 | 188 | $88 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 212 | 141 | $124 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 83 | 83 | $126 | |
G0008 |
Administration of influenza virus vaccine | 64 | 64 | $20 | |
90682 |
Influenza vaccine, quadrivalent derived from recombinant dna | 60 | 60 | $42 | |
G0009 |
Administration of pneumococcal vaccine | 28 | 28 | $20 | |
81002 |
Urinalysis, manual test | 24 | 20 | $3 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | 17 | $14 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | 18 | $243 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 15 | 15 | $55 |
In context: peer comparison
Among 4 peers in Gibsonia Internal Medicine Physician, average services per provider: 63. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Eisai INC. | 1 | $21.95 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
6,544
Patients
1,861
Total drug cost
$84,032
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 1,009 | 301 | $12,740 |
| Levothyroxine Sodium | Generic | 745 | 193 | $14,734 |
| Amlodipine Besylate | Generic | 617 | 166 | $4,042 |
| Losartan Potassium | Generic | 611 | 178 | $7,321 |
| Lisinopril | Generic | 501 | 144 | $5,604 |
| Simvastatin | Generic | 487 | 147 | $5,028 |
| Pantoprazole Sodium | Generic | 420 | 115 | $6,643 |
| Omeprazole | Generic | 323 | 97 | $4,416 |
| Rosuvastatin Calcium | Generic | 305 | 99 | $6,650 |
| Metoprolol Succinate | Generic | 302 | 83 | $7,158 |
Hospital affiliations
Frequently asked questions
What is Dr. Virginia Balderston's medical specialty?
Dr. Virginia Balderston practices Internal Medicine Physician in Gibsonia, PA.
Where does Dr. Virginia Balderston practice?
Dr. Virginia Balderston practices at 5318 Ranalli Dr, Gibsonia, PA 150449653. Office phone: 7244499355.
What is Dr. Virginia Balderston's NPI?
Dr. Virginia Balderston's National Provider Identifier (NPI) is 1487632311, issued by NPPES.
Does Dr. Virginia Balderston accept Medicare assignment?
Yes. Dr. Virginia Balderston accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Virginia Balderston commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.