MRS. DONNA G BALGAVY NP
NPI 1659381697
Internal Medicine - Cardiovascular Disease in Norfolk, VA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
100 KINGSLEY LN, SUITE 200, NORFOLK, VA 23505(757) 889-5351(757) 962-1254 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Donna G Balgavy Np NPPES

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

MRS. DONNA G BALGAVY NP (NPI 1659381697) is an individual cardiovascular disease provider in Norfolk, Virginia, licensed in Virginia (0024165422) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1659381697
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMRS. DONNA G BALGAVYCredential: NP
Location Address100 KINGSLEY LN, SUITE 200Norfolk, VA 23505-4604
Mailing Address205 Business Park Dr, Suite 200Virginia Beach, VA 23462-6335 · (757) 962-1083 · Fax (757) 962-1254
Fax(757) 962-1254
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 9, 2006
Last NPPES UpdateOctober 30, 2008
NPI 1659381697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0024165422
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
100 KINGSLEY LN, Norfolk, VA 23505

Other Identifiers 4

Other58865NVA · Optima Health Plan
Medicare ID-Type Unspecified000067C00VA
Medicare UPINP75352VA
Other177186VA · Anthem Medigap

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

Mrs. Donna G Balgavy Np 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 ID6800950916
PECOS Enrollment IDI20090204000401
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 4

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.
558 services459 patients
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.
435 services358 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.
65 services65 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Orthopaedic Surgery
100 KINGSLEY LN, SUITE 300
NORFOLK, VA 23505
Obstetrics & Gynecology
100 KINGSLEY LN, SUITE 100
NORFOLK, VA 23505
Advanced Practice Midwife
100 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505
Durable Medical Equipment & Medical Supplies
100 KINGSLEY LN, STE404
NORFOLK, VA 23505
Physician Assistant
100 KINGSLEY LN
NORFOLK, VA 23505
100 KINGSLEY LN, SUITE 302
NORFOLK, VA 23505
Urology
100 KINGSLEY LN, STE 404
NORFOLK, VA 23505
Obstetrics & Gynecology
100 KINGSLEY LN, SUITE 400
NORFOLK, VA 23505

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 Donna Balgavy's NPI number?

The NPI number for Donna Balgavy is 1659381697. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Donna Balgavy located?

Donna Balgavy practices at 100 Kingsley Ln Suite 200, Norfolk, VA 23505. The listed phone number is (757) 889-5351.

What is Donna Balgavy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Donna Balgavy enrolled in Medicare?

Yes. Donna Balgavy 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.

Is Donna Balgavy affiliated with any hospitals?

According to CMS data, Donna Balgavy is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Donna Balgavy was last updated on October 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.