DR. CRISTINA BALSERA M.D.
NPI 1598773376
Internal Medicine - Nephrology in Temple Terrace, FL

Active since August 04, 2006Accepts Medicare Assignment
12662 TELECOM DR, TEMPLE TERRACE, FL 33637(813) 910-8708(855) 852-7153 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Cristina Balsera M.d. NPPES

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

DR. CRISTINA BALSERA M.D. (NPI 1598773376) is an individual nephrology provider in Temple Terrace, Florida, licensed in Florida (ME78809) and active in the NPI registry since August 2006. She is a graduate of University Of Miami, Lm Miller School Of Medicine (1995).

NPPES Registry Identity

NPI1598773376
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. CRISTINA BALSERACredential: M.D.
Location Address12662 TELECOM DRTemple Terrace, FL 33637-0935
Mailing Address12662 Telecom DrTemple Terrace, FL 33637-0935 · (813) 910-8708 · Fax (855) 852-7153
Fax(855) 852-7153
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1995
Enumeration DateAugust 4, 2006
Last NPPES UpdateApril 25, 2017
NPI 1598773376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME78809
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 78809 (FL)
12662 TELECOM DR, Temple Terrace, FL 33637

Other Identifiers 1

Medicare PIN35404YFL

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

Dr. Cristina Balsera M.d. 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 ID8729021522
PECOS Enrollment IDI20080407000086

Areas of Expertise CMS Part B claims 2

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
236 services44 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
131 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%621 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
11%409 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
4%73 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%2,811 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%147 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%782 patients4/55-star benchmark: 97%
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…
57%789 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
16%714 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%782 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%782 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
39%782 patients
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 20

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

Nurse Practitioner (Primary Care)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Internal Medicine (Nephrology)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Internal Medicine (Nephrology)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Internal Medicine (Nephrology)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Internal Medicine (Nephrology)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Dietitian, Registered
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Nurse Practitioner (Family)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637
Internal Medicine (Nephrology)
12662 TELECOM DR
TEMPLE TERRACE, FL 33637

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 Cristina Balsera's NPI number?

The NPI number for Cristina Balsera is 1598773376. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Cristina Balsera located?

Cristina Balsera practices at 12662 Telecom Dr, Temple Terrace, FL 33637. The listed phone number is (813) 910-8708.

What is Cristina Balsera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cristina Balsera enrolled in Medicare?

Yes. Cristina Balsera 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 Cristina Balsera accept?

Health plans from AmeriHealth Caritas Next and Molina Healthcare list Cristina Balsera 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.

When was this NPI record last updated?

The NPPES record for Cristina Balsera was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.