1. Home
  2. Directory
  3. Pennsylvania
  4. State College
  5. Internal Medicine
  6. NPI Profile

RALITSA V BALABANOVA-TSARNAKOVA MD
NPI 1164731303
Internal Medicine in State College, PA

Active since October 06, 2010PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1850 E PARK AVE, STE 302, STATE COLLEGE, PA 16803(814) 278-4680(814) 235-1523 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2019, Nov 10, 2015 (2 updates tracked since 2015).

About Ralitsa V Balabanova-tsarnakova Md NPPES

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

RALITSA V BALABANOVA-TSARNAKOVA MD (NPI 1164731303) is an individual internal medicine provider in State College, Pennsylvania, licensed in Pennsylvania (MD441329) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1164731303
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRALITSA V BALABANOVA-TSARNAKOVACredential: MD
Location Address1850 E PARK AVE, STE 302State College, PA 16803-6706
Mailing Address1850 E Park Ave, Ste 302State College, PA 16803-6706 · (814) 278-4680 · Fax (814) 235-1523
Phone(814) 278-4680
Fax(814) 235-1523
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 6, 2010
Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration
✔ NPI 1164731303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD441329
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1850 E PARK AVE, State College, PA 16803
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ralitsa V Tsarnakova Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ralitsa V Balabanova-tsarnakova Md 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 ID5890984603
PECOS Enrollment IDI20110110000815
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.

Medicare Billing Reassignment

Medicare enrollment records show Ralitsa Balabanova-tsarnakova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Nittany Medical Center Health Services Inc
3.1 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
338 services208 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
203 services203 patients
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.
156 services136 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
54 services54 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
49 services49 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%124 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers40 claims83 services$5.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims17 services$0.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims35 services$2.47 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$48.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$101.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PETER F. PEPE M.D.
Internal Medicine (Rheumatology)
1850 E PARK AVE, SUITE 201
STATE COLLEGE, PA 16803
Centre County (814) 234-8800
LYNN E DIVEN RD LD CDE
Dietitian, Registered
1850 E PARK AVE, STE 312
STATE COLLEGE, PA 16803
Centre County (814) 689-3156
LAURA L. STEPHENSON M.D.
Obstetrics & Gynecology
1850 E PARK AVE, SUITE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470
KIMBERLY ANNE HANDEL MSN, CRNP
Nurse Practitioner (Adult Health)
1850 E PARK AVE, SUITE 310
STATE COLLEGE, PA 16803
Centre County (814) 863-8492
DR. DOV A BADER MD
Orthopaedic Surgery (Sports Medicine)
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
ANDREW J RENAUD DPT
Physical Therapist
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
BRIAN W SCHULZ PT
Physical Therapist
1850 E PARK AVE, STE 112
STATE COLLEGE, PA 16803
Centre County (800) 243-1455
JEFFREY W. PRO M.D.
Internal Medicine
1850 E PARK AVE, SUITE 302
STATE COLLEGE, PA 16803
Centre County (814) 278-4680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ralitsa Balabanova-tsarnakova's NPI number?

The NPI number for Ralitsa Balabanova-tsarnakova is 1164731303. It was assigned to this individual provider in the NPPES registry on October 6, 2010. The provider is also known as Ralitsa V Tsarnakova MD.

Where is Ralitsa Balabanova-tsarnakova located?

Ralitsa Balabanova-tsarnakova practices at 1850 E Park Ave Ste 302, State College, PA 16803. The listed phone number is (814) 278-4680.

What is Ralitsa Balabanova-tsarnakova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ralitsa Balabanova-tsarnakova enrolled in Medicare?

Yes. Ralitsa Balabanova-tsarnakova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ralitsa Balabanova-tsarnakova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralitsa Balabanova-tsarnakova reassigns Medicare benefits to Mount Nittany Medical Center Health Services Inc (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ralitsa Balabanova-tsarnakova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralitsa Balabanova-tsarnakova accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ralitsa Balabanova-tsarnakova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ralitsa Balabanova-tsarnakova affiliated with any hospitals?

According to CMS data, Ralitsa Balabanova-tsarnakova is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Ralitsa Balabanova-tsarnakova was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.