Dr. Virginia Marian Balderston, MD
- Medicare services, 2024
- 851
- Medicare patients, 2024
- 261
- Part D claims, 2024
- 15,396
- MIPS score, 2024
- 84
- Hospital affiliations
- 8
- Practice address
- 200 Lothrop Street, Pittsburgh, PA 15213
- Practice phone
- Call (412) 647-2345
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Dr. Balderston's professional email, personal email and mobile number
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Dr. Virginia Marian Balderston is an internist in Pittsburgh, Pennsylvania
Dr. Balderston practices at UPMC Presbyterian in Pittsburgh, Pennsylvania, part of University of Pittsburgh Medical Center.
Dr. Balderston's NPI, 1487632311, was assigned on December 30, 2005. Dr. Balderston graduated from University of Pittsburgh School of Medicine in 1989. Dr. Balderston holds Pennsylvania license MD045329L.
- NPI
- 1487632311NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2365345899
- NPI enumeration date
- December 30, 2005
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (412) 647-2345
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 63
- Medical school graduation
- 1989
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Virginia Marian Balderston practices at UPMC Presbyterian in Pittsburgh, Pennsylvania
Dr. Balderston's primary practice is UPMC Presbyterian, at 200 Lothrop Street, Pittsburgh, PA 15213 in Allegheny County. The practice phone is (412) 647-2345.
- UPMC Presbyterian200 Lothrop Street, Pittsburgh, PA 15213 · Allegheny CountyPhone(412) 647-2345
Source: Dmand AI Affiliation Data
Dr. Virginia Marian Balderston is affiliated with 10 sites of care and 2 medical groups
Dr. Balderston's primary practice is UPMC Presbyterian in Pittsburgh, Pennsylvania, part of University of Pittsburgh Medical Center. Dr. Balderston is also affiliated with Select Specialty Hospital - Pittsburgh / UPMC. The medical group on file is Stull, Jarvis, and Spinola Internal Medicine Associates-UPMC. Dmand AI also links Dr. Balderston to 6 more hospitals, 2 group practices and clinics and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Virginia Marian Balderston's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Balderston practices, 10 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| UPMC Presbyterian | Available with a free account |
| +9 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Virginia Marian Balderston is one of 5,665 internists in Pennsylvania
Internal medicine is Dr. Balderston's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Balderston is licensed in Pennsylvania.
Specialties and state licenses
- Internal medicine, PennsylvaniaPrimary
Internists near Dr. Balderston
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Virginia Marian Balderston billed Medicare for 851 services in 2024
CMS data shows 851 Medicare services from Dr. Balderston across 10 procedure codes in 2024, for 261 Medicare patients. Medicare paid $58,476 for them. Every service was in an office.
Dr. Balderston's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5742024: 574No change
- Other services
- 2023: 1752024: 1761%
- Tests and treatments
- 2023: 972024: 6038%
- Lab and pathology
- 2023: 242024: 3025%
- Surgery
- 2023: 02024: 11
Dr. Balderston compared with the Pennsylvania median for internists, 2024
- Dr. Balderston
- Pennsylvania median
- Medicare services
- 851vs 4172.0 times
- Medicare patients
- 261vs 18541% above
- Part D claims
- 14,697vs 22465.6 times
Medians across 5,518 internists in Pennsylvania with Dmand AI profiles that report each measure.
Dr. Balderston's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Balderston and other internists in Pennsylvania.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Virginia Marian Balderston treated 261 Medicare patients in 2024, average age 74
CMS counts 261 Medicare patients who saw Dr. Balderston in 2024. The largest group is 65 to 74, with 151 patients. 75% of them have high cholesterol, and 69% have high blood pressure. Their average risk score is 0.82, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Balderston's median patient age at 70, with 81% women.
Dr. Balderston's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Balderston's Medicare patients by sex, 2024
- Women20277%
- Men5923%
Chronic conditions among Dr. Balderston's Medicare patients, 2024
- High cholesterol75%
- High blood pressure69%
- Arthritis54%
- Anxiety22%
- Ischemic heart disease20%
- Mood disorders19%
- Depression17%
- Diabetes15%
Share of Medicare patients with each condition. A patient can have several.
Dr. Balderston's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 70
Patient panel by sex, all payers
- Women81%
- Men18%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Virginia Marian Balderston wrote 15,396 Medicare Part D claims in 2024
In 2024, Dr. Balderston wrote 15,396 Medicare Part D claims for 996 patients. 88% of them were for generic drugs. CMS names the drug for 14,697 of them, across 163 drugs with 11 or more claims each, at $1,133,257 in total drug cost. In 2023, CMS named 13,138 claims across 151 drugs.
Dr. Balderston's Part D claims by kind of drug, 2024
- Generic13,586 claims88%
- Brand-name1,755 claims11%
- Other55 claims0%
Dr. Balderston's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Balderston's Part D claims, 2024
- Opioids1%162 of 15,396 claims
- Antibiotics3%462 of 15,396 claims
- Antipsychotics, patients 65 and over0%49 of 15,396 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 13,1382024: 14,69712%
Drugs named by CMS: 163 in 2024, 151 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Virginia Marian Balderston scored 84 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Balderston for performance year 2024, reported as part of a group. Dr. Balderston accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Balderston as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Balderston's MIPS scores, performance year 2024
- 84of 100Final score
- 70.5of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Virginia Marian Balderston received $315 in industry payments from 2016 to 2024
CMS Open Payments shows 15 general payments to Dr. Balderston from 10 drug and device companies from 2016 to 2024. Food and beverage make up the largest share, 70% of the total. Genentech, Inc. paid the most, $84.
General payments to Dr. Balderston by program year, 2016 to 2024
General payments to Dr. Balderston by kind, 2016 to 2024
- Food and beverage$22170%
- Education$9530%
Companies that paid Dr. Balderston the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Virginia Marian Balderston graduated from University of Pittsburgh School of Medicine
Dr. Balderston graduated from University of Pittsburgh School of Medicine in 1989.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Virginia Marian Balderston's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Virginia Marian Balderston
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Virginia Marian Balderston's NPI number?
Dr. Virginia Marian Balderston's NPI number is 1487632311. It was assigned on December 30, 2005, and it is active in the NPI Registry.
What kind of doctor is Dr. Virginia Marian Balderston?
Dr. Virginia Marian Balderston is an internist in Pittsburgh, Pennsylvania. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Virginia Marian Balderston practice?
Dr. Balderston practices at 200 Lothrop Street, Pittsburgh, PA 15213. Dr. Balderston's primary practice is UPMC Presbyterian in Pittsburgh, Pennsylvania, part of University of Pittsburgh Medical Center. Dmand AI also links Dr. Balderston to 6 hospitals, 2 group practices and clinics and 1 medical group.
What is Dr. Virginia Marian Balderston's office phone number?
The practice phone on file for Dr. Balderston is (412) 647-2345.
What is Dr. Virginia Marian Balderston's medical license number?
Dr. Balderston holds Pennsylvania license MD045329L.
Which hospitals is Dr. Virginia Marian Balderston affiliated with?
Dr. Balderston practices at UPMC Presbyterian in Pittsburgh, Pennsylvania. Dr. Balderston is also affiliated with Select Specialty Hospital - Pittsburgh / UPMC. Dmand AI links Dr. Balderston to 6 more hospitals.
What medical group is Dr. Virginia Marian Balderston part of?
Dr. Balderston is linked to Stull, Jarvis, and Spinola Internal Medicine Associates-UPMC. Dmand AI links Dr. Balderston to 1 more medical group.
Does Dr. Virginia Marian Balderston accept Medicare?
Yes. CMS data shows Dr. Balderston billed Medicare for 851 services in 2024, and Dr. Balderston accepts Medicare assignment.
Does Dr. Virginia Marian Balderston offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Balderston as offering telehealth services.
What is Dr. Virginia Marian Balderston's MIPS score?
Dr. Balderston's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.
Show 6 more questionsShow fewer questions
How many Medicare patients does Dr. Virginia Marian Balderston see?
CMS counts 261 Medicare patients who saw Dr. Balderston in 2024, with an average age of 74.
What services does Dr. Virginia Marian Balderston bill to Medicare?
In 2024, Dr. Balderston's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and medicare service (G0439).
Where did Dr. Virginia Marian Balderston go to medical school?
Dr. Balderston graduated from University of Pittsburgh School of Medicine in 1989.
What drugs does Dr. Virginia Marian Balderston prescribe most?
In 2024 Medicare Part D data, Dr. Balderston's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Amlodipine Besylate.
Has Dr. Virginia Marian Balderston received payments from drug or device companies?
CMS Open Payments shows $315 in general payments to Dr. Balderston from 10 companies from 2016 to 2024. The largest total came from Genentech, Inc.
How long has Dr. Virginia Marian Balderston been practicing?
Dr. Balderston graduated from medical school in 1989, 37 years ago.
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