SILERA MERCEDES HOLGUIN BALBUENA MD
NPI 1447780614
Internal Medicine - Rheumatology in Charleston, WV
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
Specialties & Licenses 2
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.
Accepted 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.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.11 for a new patient copayment and $23.7 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 25304 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.46
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $31.11
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.81
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $23.7
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Silera Holguin Balbuena is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER | 501 MORRIS STREET CHARLESTON, WV 25301 | (304) 388-5432 | Acute Care Hospitals |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447780614, enumerated as an "individual" on June 19, 2017.
The provider is located at 3100 MACCORKLE AVE STE 205 CHARLESTON, WV 25304 and the phone number is (304) 388-2303.
Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
Silera Holguin Balbuena is affiliated with: CHARLESTON AREA MEDICAL CENTER.
