1. Home
  2. Directory
  3. Virginia
  4. Newport News
  5. Internal Medicine
  6. NPI Profile

JOEL VERANO MABALOT MD
NPI 1881782233
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newport News, VA

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
12200 WARWICK BLVD, STE 590B, NEWPORT NEWS, VA 23601(757) 534-5909(757) 534-5911 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joel Verano Mabalot Md NPPES

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

JOEL VERANO MABALOT MD (NPI 1881782233) is an individual endocrinology, diabetes & metabolism provider in Newport News, Virginia, licensed in Virginia (0101242113) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1881782233
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJOEL VERANO MABALOTCredential: MD
Location Address12200 WARWICK BLVD, STE 590BNewport News, VA 23601-2344
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318
Phone(757) 534-5909
Fax(757) 534-5911
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 11, 2006
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1881782233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VA · 0101242113
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
12200 WARWICK BLVD, Newport News, VA 23601
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

Joel Verano Mabalot 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 ID7911093729
PECOS Enrollment IDI20071009000855
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 6

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.
874 services367 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
186 services85 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
142 services142 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.
46 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers16 claims232 services$18.27 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers16 claims480 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers89 claims407 services$6.78 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers19 claims19 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers35 claims73 services$1.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers359 claims362 services$182.27 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.

CARL ANTHONY GIBSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12200 WARWICK BLVD, SUITE 590B
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5909
GLYNIS MARGARET DAVIS NP
Nurse Practitioner (Family)
12200 WARWICK BLVD, STE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
RIVERSIDE PHYSICIAN SERVICES INC
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
KELLY M MURRER NP
Nurse Practitioner (Women's Health)
12200 WARWICK BLVD, STE 510
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5700
CHERYL LOUISE MILLER PA
Physician Assistant
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
DEAN BORRISOV KOSTOV MD
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200
SANDY N BACALLAO NP
Nurse Practitioner
12200 WARWICK BLVD, SUITE 310
NEWPORT NEWS, VA 23601
Newport News City (757) 534-9988
JACKSON BOLAND SALVANT JR. M.D.
Neurological Surgery
12200 WARWICK BLVD, SUITE 410
NEWPORT NEWS, VA 23601
Newport News City (757) 534-5200

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 Joel Mabalot's NPI number?

The NPI number for Joel Mabalot is 1881782233. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Joel Mabalot located?

Joel Mabalot practices at 12200 Warwick Blvd Ste 590B, Newport News, VA 23601. The listed phone number is (757) 534-5909.

What is Joel Mabalot's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Joel Mabalot enrolled in Medicare?

Yes. Joel Mabalot 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 Joel Mabalot affiliated with any hospitals?

According to CMS data, Joel Mabalot is affiliated with Riverside Regional Medical Center, Sentara Careplex Hospital, Riverside Walter Reed Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Joel Mabalot was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.