2026 NPPES data Pediatrics Physician NPI 1912980178 M.D.
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OFELIA BALTA, M.D.

Pediatrics Physician in SYLVA, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
6K
Medicare Part D claims · 527 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.1K
59 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: OFELIA BALTA, M.D. is a Pediatrics Physician ([object Object]) practicing in SYLVA, North Carolina with a Medicare Part D prescribing footprint of 6K claims across 527 beneficiaries — 15% brand-name prescribing . Industry payments of $1.1K across 59 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: OFELIA BALTA, M.D. filed 5,572 Medicare Part D claims in 2023 across SYLVA, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

OFELIA BALTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

OFELIA BALTA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 11/22/2005

NPI 1912980178

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

5,572 631% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in North Carolina

How Pediatrics Physician compares to other specialties among North Carolina providers

North Carolina providers

Pediatrics Physician share within North Carolina

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

OFELIA BALTA, M.D. is a Pediatrics Physician provider practicing in SYLVA, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912980178. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

OFELIA BALTA, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 98 COPE CREEK RD STE A-B, SYLVA, NC, 28779, with a listed phone of (828) 586-7798. NPI 1912980178 was issued on 11/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALTA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,572 prescription claims written by this provider, covering 527 Medicare beneficiaries and totaling roughly $623K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 2.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

98 COPE CREEK RD STE A-B
SYLVA, NC 28779

Provider Details

NPI 1912980178
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 11/22/2005

Hospital and facility affiliations

Facilities where OFELIA BALTA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ONLY ONE HUB
SYLVA, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for OFELIA BALTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

OFELIA BALTA, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 5,572 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,572
Total Claims
$623K
Total Drug Cost
527
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,521
Total Day Supply
339,620
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$526K
Generic Drug Cost
$95K
Opioid Claims
111 (2.0% rate)
Antibiotic Claims
99

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.21
Gender Split
73% female / 27% male
Age Distribution
<65: 39, 65-74: 238, 75-84: 193, 85+: 57

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
300
Amlodipine Besylate
195
Gabapentin
160
Atorvastatin Calcium
159
Losartan Potassium
146
Rosuvastatin Calcium
124
Montelukast Sodium
120
Omeprazole
119
Lisinopril
116
Spironolactone
96

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatrics Physician Overview

How OFELIA BALTA, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

OFELIA BALTA, M.D.'s 5,572 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BALTA.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is OFELIA BALTA, M.D.'s specialty?
OFELIA BALTA, M.D. specializes in Pediatrics Physician and practices in SYLVA, North Carolina. Credentials: M.D..
How much does OFELIA BALTA, M.D. prescribe under Medicare Part D?
In 2023, OFELIA BALTA, M.D. wrote 5,572 Medicare Part D claims totaling $623K in drug costs for 527 beneficiaries.
Where is OFELIA BALTA, M.D. located?
OFELIA BALTA, M.D. is located at 98 COPE CREEK RD STE A-B, SYLVA, NC, 28779. Phone: (828) 586-7798.
What is OFELIA BALTA, M.D.'s NPI number?
OFELIA BALTA, M.D.'s National Provider Identifier (NPI) is 1912980178, issued on 11/22/2005.
Does OFELIA BALTA, M.D. prescribe more brand-name or generic drugs?
OFELIA BALTA, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $526K in brand drug costs.
Does OFELIA BALTA, M.D. prescribe opioids?
Yes, OFELIA BALTA, M.D. had 111 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does OFELIA BALTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, OFELIA BALTA, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OFELIA BALTA, M.D. accept Medicare?
OFELIA BALTA, M.D. appears in CMS Medicare data with 5,572 Part D claims and 527 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OFELIA BALTA, M.D.'s credentials?
OFELIA BALTA, M.D.'s NPI is 1912980178 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology