Virginia Marian Balderston, M.D.
NPI 1487632311ActiveIndividual· Internal Medicine· Gibsonia, PA
Internal Medicine (M.D.) in Gibsonia, Pennsylvania, trained at University of Pittsburgh School of Medicine (class of 1989). Their prescriptions cost Medicare Part D more than their services did: $1,243,933 for 15,396 claims, against $67,099 paid for services in 2024. Eisai Inc. reported $21.95 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1487632311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 30, 2005 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD045329L | PA |
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 - Internal Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 261 |
|---|---|
| Services billed | 1,146 across 39 procedure codes |
| Paid by Medicare | $67,099 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15,396 · 35,371 30-day fills |
|---|---|
| Patients | 996 |
| Total drug cost | $1,243,933 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Pittsburgh School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Upmc Community Medicine IncWest View, PA · 736 clinicians
Hospital affiliations
- Ahn Wexford HospitalWexford, PA
- Allegheny General HospitalPittsburgh, PA
- Magee Womens Hospital of Upmc Health SystemPittsburgh, PA
- Upmc PassavantPittsburgh, PA
- Upmc St MargaretPittsburgh, PA
Other facilities
- Concordia Visiting NursesHome health agency · Cabot, PA
Industry payments (Open Payments)
- 2024$21.95 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Eisai Inc. | $21.95 | 1 |
What the 2024 payments were for
- Food and Beverage$21.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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