DR. CASILDA BALMACEDA M.D.
NPI 1093751919
Psychiatry & Neurology - Neurology in New York, NY

Q: What is Casilda Balmaceda's NPI number?

The NPI number for Casilda Balmaceda is 1093751919. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Casilda Balmaceda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Casilda Balmaceda was last updated on February 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

710 W 168TH ST, NEW YORK, NY 10032(212) 305-4572(212) 305-1470 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Casilda Balmaceda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASILDA BALMACEDA M.D. (NPI 1093751919) is an individual neurology provider in New York, New York, licensed in New York (186529-1) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1987).

NPPES Registry Identity

NPI1093751919

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. CASILDA BALMACEDACredential: M.D.

Location Address710 W 168TH STNew York, NY 10032-3726

Mailing Address710 W 168th StNew York, NY 10032-3726 · (212) 305-4572 · Fax (212) 305-1470

Phone(212) 305-4572

Fax(212) 305-1470

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1987

Enumeration DateJune 20, 2006

Last NPPES UpdateFebruary 12, 2010

✔ NPI 1093751919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in NY · 186529-1

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

710 W 168TH ST, New York, NY 10032

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF69297NY

Medicaid01830579NY

Medicare ID-Type Unspecified80H081NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Casilda Balmaceda M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800927757

PECOS Enrollment IDI20100622000253, I20211216000928

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

237 services126 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

138 services49 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

85 services50 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

69 services49 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

64 services64 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

25%28 patients2/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

99%449 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

14%146 patients1/55-star benchmark: 99%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 13% · 146 patients

18%146 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LYNN R SILVERBERG N.P.

Nurse Practitioner (Adult Health)

710 W 168TH ST, NEUROLOGICAL INSTITUTE 4TH FLOOR
NEW YORK, NY 10032

New York County (212) 305-6384

MRS. ELIZABETH ISTORICO NP

Nurse Practitioner (Family)

710 W 168TH ST, NI-I ROOM 18
NEW YORK, NY 10032

New York County (212) 305-1718

DR. ASA ABELIOVICH M.D.

Psychiatry & Neurology (Neurology)