NPPES file of Aug 9, 2026

Ralitsa V. Balabanova-Tsarnakova, MD

Internal Medicine Physician · State College, PA

Ralitsa V. Balabanova-Tsarnakova, MD is an internal medicine physician with a practice address in State College, Pennsylvania, and NPI 1164731303, issued on Oct 6, 2010. Check the license (Pennsylvania MD441329, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164731303
Name
Ralitsa V. Balabanova-Tsarnakova
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
MD441329 PA
Self-reported in NPPES; status is on the state search
Practice location
1850 E Park Ave, State College, PA 16803
Phone
(814) 278-4680
Enumerated
Oct 6, 2010
Record last updated
Dec 27, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(814) 235-1523
Medicare enrollment
Enrolled (PECOS I20110110000815); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1850 E Park Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jonathan Adams, MDFamily Medicine Physician1679537401
  2. Kimberly Andres, PACPhysician Assistant1568674513
  3. Karthika ArulsothynathanStudent in an Organized Health Care Education/Training Program1649653585
  4. Dov Bader, MDSports Medicine (Orthopaedic Surgery) Physician1053567172
  5. Evan Bell, M.D.Infectious Disease Physician1396728259
  6. Diana Berlyand, R.D.Registered Dietitian1902972086

Verify Ralitsa V. Balabanova-Tsarnakova in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD441329
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.9 times the Medicare Part D claims of the average internal medicine physician in 2024

9,327 Medicare Part D claims for 936 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 241 claims were for opioids.

  1. Ralitsa Balabanova-Tsarnakova9,327
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium663 claims
  2. Levothyroxine Sodium513 claims
  3. Amlodipine Besylate397 claims
  4. Lisinopril369 claims
  5. Pantoprazole Sodium288 claims
  6. Losartan Potassium262 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.

The practice group's MIPS final score for 2023 (Medicare payment program): 72.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score55.1
  2. Costout of 100 · 30%55.1
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $465.70

34 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ralitsa Balabanova-Tsarnakova$465.70
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Mount Nittany Medical Center Health Services IncBellefonte, PA
  2. Phoenix Rehabilitation And Health Services IncCranberry Twp, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ralitsa V. Balabanova-Tsarnakova among 7,300 internal medicine physician records in Pennsylvania

Ralitsa V. Balabanova-Tsarnakova, MD is one of 7,300 internal medicine physician records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 50% of them.

  • NPI issued2010 · 50% of these records are older, 48% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2001 · median 2008 among the 4,208 with a school on file
  • Record last updated2019 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

26 internal medicine physician records list a practice address in State College

They are 26 of the 1,543 NPPES records with a practice address in State College, and 7,300 internal medicine physician records in Pennsylvania.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Sarah Bork, MDState College, PA 168031396783148
  2. John Coppes, M.D.State College, PA 168031154397529
  3. Jenna Dudukovich, MDState College, PA 168031700383619
  4. Kavita Goyal, MDState College, PA 168031902109762
  5. Frank Guillard, M.D.State College, PA 168031558354134
  6. Paul Guillard, M.D.State College, PA 168031174516769
  7. Spencer Keil, MDState College, PA 168031972160224
  8. Robert Klingler, M.D.State College, PA 168031437449071

Common questions

What is Ralitsa V. Balabanova-Tsarnakova, MD's NPI number?

Ralitsa V. Balabanova-Tsarnakova, MD's National Provider Identifier (NPI) is 1164731303, issued on Oct 6, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Ralitsa V. Balabanova-Tsarnakova, MD located?

The NPPES record lists a practice address at 1850 E Park Ave, State College, PA, 16803. Phone: (814) 278-4680. Providers update this record themselves, so call before visiting.

How can I verify Ralitsa V. Balabanova-Tsarnakova, MD's license?

NPPES lists Pennsylvania license number MD441329, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ralitsa V. Balabanova-Tsarnakova, MD prescribe under Medicare Part D?

In 2024, Ralitsa V. Balabanova-Tsarnakova, MD had 9,327 Medicare Part D claims for 936 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Ralitsa V. Balabanova-Tsarnakova, MD's MIPS final score?

The 2023 MIPS final score is 72.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.