1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Pathology
  6. NPI Profile

DR. RAISA IDELISS BALBUENA MERLE M.D.
NPI 1699039362
Pathology - Anatomic Pathology & Clinical Pathology in New Haven, CT

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
33 CEDAR ST, YNHH LABORATORY MEDICINE, NEW HAVEN, CT 06519(203) 688-2446 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raisa Ideliss Balbuena Merle M.d. NPPES

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

DR. RAISA IDELISS BALBUENA MERLE M.D. (NPI 1699039362) is an individual anatomic pathology & clinical pathology provider in New Haven, Connecticut, licensed in Connecticut (61662) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2012).

NPPES Registry Identity

NPI1699039362
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. RAISA IDELISS BALBUENA MERLECredential: M.D.
Location Address33 CEDAR ST, YNHH LABORATORY MEDICINENew Haven, CT 06519-2355
Mailing Address33 Cedar St, Ynhh Laboratory MedicineNew Haven, CT 06519-2355 · (203) 688-2446
Phone(203) 688-2446
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2012
Enumeration DateJune 27, 2012
Last NPPES UpdateMay 21, 2019
✔ NPI 1699039362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CT · 61662
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
33 CEDAR ST, New Haven, CT 06519
Open in Google Maps ↗

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. Raisa Ideliss Balbuena Merle 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 ID9436482585
PECOS Enrollment IDI20190605001919
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 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.

Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
210 services194 patients
Cell examination of body fluid, smears 88104
Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.
37 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Raisa Balbuena Merle's NPI number?

The NPI number for Raisa Balbuena Merle is 1699039362. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Raisa Balbuena Merle located?

Raisa Balbuena Merle practices at 33 Cedar St Ynhh Laboratory Medicine, New Haven, CT 06519. The listed phone number is (203) 688-2446.

What is Raisa Balbuena Merle's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Raisa Balbuena Merle enrolled in Medicare?

Yes. Raisa Balbuena Merle 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.

When was this NPI record last updated?

The NPPES record for Raisa Balbuena Merle was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.