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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINETTE THERESA BALBIN-CUESTA
NPI 1285578005
Pathology - Anatomic Pathology & Clinical Pathology in Madison, WI

Active since April 14, 2026PECOS Enrolled
749 UNIVERSITY ROW STE 200, MADISON, WI 53705(608) 263-6400 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ginette Theresa Balbin-cuesta NPPES

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

GINETTE THERESA BALBIN-CUESTA (NPI 1285578005) is an individual anatomic pathology & clinical pathology provider in Madison, Wisconsin, licensed in Wisconsin (102555) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285578005
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameGINETTE THERESA BALBIN-CUESTA
Location Address749 UNIVERSITY ROW STE 200Madison, WI 53705-1465
Mailing AddressUw Hospitals & Clinics, 600 Highland AveMadison, WI 53792-0001 · (608) 263-6400
Phone(608) 263-6400
Sole ProprietorNo
Enumeration DateApril 14, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1285578005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in WI · 102555
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
749 UNIVERSITY ROW STE 200, Madison, WI 53705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ginette Theresa Balbin-cuesta 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 53705 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

DR. LEAH MERRELL GOBER MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
SAMUEL MICHAEL KEFER MD
Emergency Medicine
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
ANKITHA MADDE
Obstetrics & Gynecology
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
JACOB ALEXANDER BETHEL MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
DR. SWETHA RAVI DO
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
DR. WARDAH RAFAQAT M.B.B.S.
Surgery
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
NNENNA ESTHER OKAFOR MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400
CALEB JOHN SCHULZ MD
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW STE 200
MADISON, WI 53705
Dane County (608) 263-6400

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 Ginette Balbin-cuesta's NPI number?

The NPI number for Ginette Balbin-cuesta is 1285578005. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Ginette Balbin-cuesta located?

Ginette Balbin-cuesta practices at 749 University Row Ste 200, Madison, WI 53705. The listed phone number is (608) 263-6400.

What is Ginette Balbin-cuesta's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ginette Balbin-cuesta enrolled in Medicare?

Yes. Ginette Balbin-cuesta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ginette Balbin-cuesta was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.