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DR. MARIA D BALLESTEROS MD
NPI 1881699361
Family Medicine in San Antonio, TX

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
11130 CHRISTUS HILLS, 3RD FLOOR, SAN ANTONIO, TX 78251(210) 703-9001(210) 703-9155 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Maria D Ballesteros Md NPPES

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

DR. MARIA D BALLESTEROS MD (NPI 1881699361) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (J3975) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1992).

NPPES Registry Identity

NPI1881699361
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIA D BALLESTEROSCredential: MD
Location Address11130 CHRISTUS HILLS, 3RD FLOORSan Antonio, TX 78251
Mailing Address11130 Christus Hills, 2nd Floor, Suite 201San Antonio, TX 78251-3584 · (210) 703-9001 · Fax (210) 703-9155
Phone(210) 703-9001
Fax(210) 703-9155
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1992
Enumeration DateJune 20, 2005
Last NPPES UpdateJune 12, 2018
✔ NPI 1881699361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J3975
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11130 CHRISTUS HILLS, San Antonio, TX 78251
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Other Identifiers 9

Other111814305TX · Cidc
Other5392692001TX · Cigna
Other742806531DTX · Humana
Other885850TX · First Health
Other309336TX · Private Healthcare Syst
Other5216043TX · Aetna
Medicaid111814301TX
Other1118143-05TX · Cshcn Medicaid
Other87043BTX · Bcbs Of Texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maria D Ballesteros Md 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 ID8921142530
PECOS Enrollment IDI20100220000222
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 Reassignment

Medicare enrollment records show Maria Ballesteros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas
283 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119

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

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 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.
67 services62 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.
47 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
46%274 patients3/55-star benchmark: 92%
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…
20%215 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
35%399 patients2/55-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
33%192 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,894 patients4/55-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.
94%1,759 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
45%233 patients3/55-star benchmark: 88%
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.
96%285 patients4/55-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.
66%1,934 patients3/55-star benchmark: 97%
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…
99%1,934 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…
39%1,934 patients2/55-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.
50%1,934 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$916.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSE R HINOJOSA II MD
Family Medicine
11130 CHRISTUS HILLS, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
SHAHID AZIZ M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11130 CHRISTUS HILLS, STE 101
SAN ANTONIO, TX 78251
Bexar County (210) 352-5006
SYED J. UMER, MD, PA
Internal Medicine (Cardiovascular Disease)
11130 CHRISTUS HILLS, SUITE 207 MEDICAL PLAZA 3
SAN ANTONIO, TX 78251
Bexar County (210) 681-6176
ALLISON MARIE SMITH MD
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
CECILIA NGUYEN DO
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, SUITE 311
SAN ANTONIO, TX 78251
Bexar County (210) 703-9025
MAX MCCOLLOSTER MD
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
DR. PAT KEITH PATTESON MD
Family Medicine
11130 CHRISTUS HILLS, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
DR. JAMES H. HENDERSON II M.D.
Internal Medicine
11130 CHRISTUS HILLS, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001

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 Maria Ballesteros's NPI number?

The NPI number for Maria Ballesteros is 1881699361. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Maria Ballesteros located?

Maria Ballesteros practices at 11130 Christus Hills 3rd Floor, San Antonio, TX 78251. The listed phone number is (210) 703-9001.

What is Maria Ballesteros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Ballesteros enrolled in Medicare?

Yes. Maria Ballesteros 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.

Which organization bills Medicare for Maria Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Ballesteros reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The 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 Maria Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Ballesteros accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Community First and UnitedHealthcare list Maria Ballesteros 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 Maria Ballesteros affiliated with any hospitals?

According to CMS data, Maria Ballesteros is affiliated with Christus Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Ballesteros was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.