Sophia Rebecca Balderman, MD
NPI 1104098607ActiveIndividual· Internal Medicine, Hematology· Cleveland, OH
Internal Medicine, Hematology (MD) with Cleveland Clinic, practicing in Cleveland, Ohio. Their prescriptions cost Medicare Part D more than their services did: $2,831,265 for 548 claims, against $36,849 paid for services in 2024. Lists Akron General Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1104098607 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 25, 2008 |
| Last updated in NPPES | Jan 17, 2022 |
| Certified by provider | Jan 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology Primary | 207RH0000X | 254222 | NY |
| Internal Medicine | 207R00000X | 254222 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology/Oncology (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 521 across 16 procedure codes |
| Paid by Medicare | $36,849 |
Part D prescriptions in 2024
| Prescriptions (claims) | 548 · 685 30-day fills |
|---|---|
| Patients | 81 |
| Total drug cost | $2,831,265 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Hematology/Oncology |
| Telehealth | Offers telehealth |
Medical group
- Cleveland ClinicCleveland, OH · 7,090 clinicians
Hospital affiliations
- Akron General Medical CenterAkron, OH
- Cleveland ClinicCleveland, OH
- Cleveland Clinic Avon HospitalAvon, OH
- Mercy Medical CenterCanton, OH
- Union HospitalDover, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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