Matthew Gene Balderston, M.D.
Family Medicine Physician · Virginia Beach, VA
Matthew Gene Balderston, M.D. is a family medicine physician with a practice address in Virginia Beach, Virginia, and NPI 1316386394, issued on Jun 22, 2013. Check the license on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Matthew Gene Balderston
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 28301 NE
Self-reported in NPPES; status is on the state search - Practice location
- 351 Edwin Dr Ste 102, Virginia Beach, VA 23462
- Phone
- (757) 499-5550
- Enumerated
- Jun 22, 2013
- Record last updated
- Oct 21, 2024
- Medicare enrollment
- Enrolled (PECOS I20200429002833); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Also registered at 351 Edwin Dr Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ritu Bala, FNP-BCFamily Nurse Practitioner1053275172
- Meagan Fiala, M.D.Family Medicine Physician1336438951
- Joy Gianvittorio, MDFamily Medicine Physician1285609768
- Amber McIntire, FNPFamily Nurse Practitioner1255188652
- James Walters, FNP-CFamily Nurse Practitioner1528814423
Verify Matthew Gene Balderston in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health ProfessionsCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
85% more Medicare Part D claims than the average family medicine physician in 2024
6,545 Medicare Part D claims for 511 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 128 claims were for opioids.
Most prescribed
- Atorvastatin Calcium371 claims
- Amlodipine Besylate352 claims
- Lisinopril265 claims
- Rosuvastatin Calcium265 claims
- Simvastatin230 claims
- Levothyroxine Sodium226 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,026.61
53 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Tidewater Physicians Multispecialty Group, PCVirginia Beach, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Matthew Gene Balderston among 4,137 family medicine physician records in Virginia
Matthew Gene Balderston, M.D. is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 72% of them.
- NPI issued2013 · 72% of these records are older, 26% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2013 · median 2004 among the 2,426 with a school on file
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
219 family medicine physician records list a practice address in Virginia Beach
They are 219 of the 9,147 NPPES records with a practice address in Virginia Beach, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in Virginia Beach → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jerry Cushman, M.D.Virginia Beach, VA 234621851370167
- Brian Doeren, MDVirginia Beach, VA 234621467453563
- Amira Elhassan, MDVirginia Beach, VA 234621104868728
- Allen Fenderson, M.D.Virginia Beach, VA 234621205832979
- Barry Gentry, M.D.Virginia Beach, VA 234621194796136
- Joy Gianvittorio, MDVirginia Beach, VA 234621285609768
- Kamal Louka, M.D.Virginia Beach, VA 234621417900119
- Naghmana Masood, MDVirginia Beach, VA 234621912950361
Common questions
What is Matthew Gene Balderston, M.D.'s NPI number?
Matthew Gene Balderston, M.D.'s National Provider Identifier (NPI) is 1316386394, issued on Jun 22, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Gene Balderston, M.D. located?
The NPPES record lists a practice address at 351 Edwin Dr Ste 102, Virginia Beach, VA, 23462. Phone: (757) 499-5550. Providers update this record themselves, so call before visiting.
How can I verify Matthew Gene Balderston, M.D.'s license?
Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Matthew Gene Balderston, M.D. prescribe under Medicare Part D?
In 2024, Matthew Gene Balderston, M.D. had 6,545 Medicare Part D claims for 511 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.