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GABRIELA V. BALLESTER M.D.
NPI 1598967374
Internal Medicine - Hematology in Spokane Valley, WA

Active since June 04, 2007PECOS Enrolled
87.76/100
CMS Quality Rating
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216(509) 228-1000(509) 252-9300 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2025, Feb 5, 2025, Jul 6, 2022 and 5 more (8 updates tracked since 2015).

About Gabriela V. Ballester M.d. NPPES

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

GABRIELA V. BALLESTER M.D. (NPI 1598967374) is an individual hematology provider in Spokane Valley, Washington, licensed in Washington (MD61181565) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598967374
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameGABRIELA V. BALLESTERCredential: M.D.
Location Address1204 N VERCLER RDSpokane Valley, WA 99216-1020
Mailing AddressPo Box 100278Gainesville, FL 32610-0278 · (352) 273-7832 · Fax (352) 273-6867
Phone(509) 228-1000
Fax(509) 252-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 15, 20258 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1598967374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Licenses✔ Licensed in WA · MD61181565✔ Licensed in OH · 35.145343✔ Licensed in IN · 01095057A✔ Licensed in FL · ME140817✔ Licensed in RI · MD 15560✔ Licensed in OR · MD214192
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
1204 N VERCLER RD, Spokane Valley, WA 99216
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1460 W 10th AveColumbus, OH 43210-1240 · Phone (614) 293-3196 · Fax (614) 293-7526
Location 211050 Parkview Circle DrFort Wayne, IN 46845-1739 · Phone (833) 724-8326 · Fax (260) 425-6845

Other Identifiers 4

Medicaid1598967374WA
OtherP01559044NY · Railroad Medicare
Medicaid278318OH
Medicaid105073800FL

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gabriela V. Ballester M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557450913
PECOS Enrollment IDI20230502001764
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 Reassignments

4

Medicare enrollment records show Gabriela Ballester reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
236 mi
Otolaryngology
1815 E 19TH ST, SUITE 1
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1083963573 (541) 298-5563
Providence Health & Services - Oregon
296 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Mmc Hematology Oncology Fpp
2,173 mi
Hematology & Oncology
6300 8TH AVE
Brooklyn, NY 11220
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
NPI 1598878217 (718) 283-8773
Maimonides Faculty Practice Plan
2,173 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

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

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 18

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

CHRISTINE FIORENTINO NP
Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
CHRISTOPHER MELVIN LEE M.D.
Radiology (Radiation Oncology)
1204 N VERCLER RD, STE201
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
ELIZABETH MICHELLE GUNDERSON MD
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
STEPHEN BARMAN MD
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
MR. NIKOLAS STEVEN RADEMAKER FNP
Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
KRISTINE J. RINN MD
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
DR. MAURY NELSON BLITMAN MD
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 228-1000
DR. ISLA MARIANN MCKERROW JOHNSON MD
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Spokane County (503) 504-3402

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 Gabriela Ballester's NPI number?

The NPI number for Gabriela Ballester is 1598967374. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Gabriela Ballester located?

Gabriela Ballester practices at 1204 N Vercler Rd, Spokane Valley, WA 99216. The listed phone number is (509) 228-1000.

What is Gabriela Ballester's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Gabriela Ballester enrolled in Medicare?

Yes. Gabriela Ballester is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gabriela Ballester's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriela Ballester reassigns Medicare benefits to 4 organizations: Providence Health & Services - Oregon (The Dalles, OR), Providence Health & Services - Oregon (Portland, OR), Mmc Hematology Oncology Fpp (Brooklyn, NY) and Maimonides Faculty Practice Plan (Brooklyn, NY). Each 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 Gabriela Ballester's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gabriela Ballester accept?

Health plans from CareSource and Providence Health Plan list Gabriela Ballester 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 Gabriela Ballester affiliated with any hospitals?

According to CMS data, Gabriela Ballester is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Gabriela Ballester was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.