MS. MICHELLE ALMODOVAR BALMACEDA MD
NPI 1164659819
Family Medicine in Matthews, NC

Q: What is Michelle Balmaceda's NPI number?

The NPI number for Michelle Balmaceda is 1164659819. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Q: What is Michelle Balmaceda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 19, 2009PECOS Enrolled

9600 E INDEPENDENCE BLVD, MATTHEWS, NC 28105(704) 384-8441(704) 384-8442 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2021, Oct 26, 2020, Aug 20, 2016 (3 updates tracked since 2016).

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About Ms. Michelle Almodovar Balmaceda Md NPPES

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

MS. MICHELLE ALMODOVAR BALMACEDA MD (NPI 1164659819) is an individual family medicine provider in Matthews, North Carolina, licensed in North Carolina (2016-01789) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164659819

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMS. MICHELLE ALMODOVAR BALMACEDACredential: MD

Location Address9600 E INDEPENDENCE BLVDMatthews, NC 28105-4628

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (704) 384-8441 · Fax (704) 384-8442

Phone(704) 384-8441

Fax(704) 384-8442

Sole ProprietorNo

Enumeration DateJune 19, 2009

Last NPPES UpdateAugust 11, 20213 updates tracked since enumeration

NPPES CertifiedAugust 11, 2021

✔ NPI 1164659819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NC · 2016-01789✔ Licensed in SC · 34762

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9600 E INDEPENDENCE BLVD, Matthews, NC 28105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Michelle Almodovar Balmaceda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

67%101 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

57%181 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

35%200 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

1%165 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

53%79 patients3/55-star benchmark: 98%

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 6

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

CAROLINE MCLEOD HARRIS PA-C

Physician Assistant