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

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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 Parkview Regional 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
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

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

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

Gabriela V. Ballester 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 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.

Hospital Affiliations CMS Care Compare 2

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

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 17

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

Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Radiology (Radiation Oncology)
1204 N VERCLER RD, STE201
SPOKANE VALLEY, WA 99216
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Nurse Practitioner
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Medical Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology & Oncology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216
Internal Medicine (Hematology)
1204 N VERCLER RD
SPOKANE VALLEY, WA 99216

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 Parkview Regional Medical Center and 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 with the weekly NPPES data releases published by CMS.