SILERA MERCEDES HOLGUIN BALBUENA MD
NPI 1447780614
Internal Medicine - Rheumatology in Charleston, WV

Q: What is Silera Holguin Balbuena's NPI number?

The NPI number for Silera Holguin Balbuena is 1447780614. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Q: What is Silera Holguin Balbuena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment

3100 MACCORKLE AVE STE 205, CHARLESTON, WV 25304(304) 388-2303 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Silera Mercedes Holguin Balbuena Md NPPES

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

SILERA MERCEDES HOLGUIN BALBUENA MD (NPI 1447780614) is an individual rheumatology provider in Charleston, West Virginia, licensed in West Virginia (31018) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447780614

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameSILERA MERCEDES HOLGUIN BALBUENACredential: MD

Location Address3100 MACCORKLE AVE STE 205Charleston, WV 25304-1223

Mailing Address1220 E Cumberland Ave Unit 123Tampa, FL 33602-4253 · (019) 534-0262

Phone(304) 388-2303

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 19, 2017

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1447780614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in WV · 31018

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 00000000000000000000

3100 MACCORKLE AVE STE 205, Charleston, WV 25304

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Silera Mercedes Holguin Balbuena 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 ID2860863123

PECOS Enrollment IDI20230124001801

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 3

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.

106 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number511317

Location430 Main Street, WestOak Hill, WV 25901 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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 Silera Holguin Balbuena's NPI number?

The NPI number for Silera Holguin Balbuena is 1447780614. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Silera Holguin Balbuena located?

Silera Holguin Balbuena practices at 3100 Maccorkle Ave Ste 205, Charleston, WV 25304. The listed phone number is (304) 388-2303.

What is Silera Holguin Balbuena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Silera Holguin Balbuena enrolled in Medicare?

Yes. Silera Holguin Balbuena 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.

What insurance does Silera Holguin Balbuena accept?

Health plans from CareSource list Silera Holguin Balbuena 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 Silera Holguin Balbuena affiliated with any hospitals?

According to CMS data, Silera Holguin Balbuena is affiliated with Charleston Area Medical Center and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Silera Holguin Balbuena was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.