Sandra K. Balmoria, MD
Family Medicine Physician · New Church, VA
Sandra K. Balmoria, MD is a family medicine physician with a practice address in New Church, Virginia, and NPI 1023379153, issued on Jun 5, 2012. Check the license (Virginia 0116024489, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Sandra K. Balmoria
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 0116024489 VA
0101254483 VA
Self-reported in NPPES; status is on the state search - Practice location
- 5219 Lankford Highway, New Church, VA 23415
- Phone
- (757) 414-0400
- Enumerated
- Jun 5, 2012
- Record last updated
- May 22, 2024
- Medicare enrollment
- Enrolled (PECOS I20150819006762); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 4,137 in Virginia → Look up another NPI →
Verify Sandra K. Balmoria in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0116024489Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
63% more Medicare Part D claims than the average family medicine physician in 2024
5,772 Medicare Part D claims for 512 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 29 claims were for opioids.
Most prescribed
- Atorvastatin Calcium315 claims
- Amlodipine Besylate213 claims
- Gabapentin178 claims
- Rosuvastatin Calcium167 claims
- Pantoprazole Sodium163 claims
- Omeprazole159 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): 81.9 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Mcv Associated PhysiciansSouth Hill, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sandra K. Balmoria among 4,137 family medicine physician records in Virginia
Sandra K. Balmoria, MD 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 2012, is newer than 70% of them.
- NPI issued2012 · 70% of these records are older, 28% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2012 · 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).
3 family medicine physician records list a practice address in New Church
They are 3 of the 28 NPPES records with a practice address in New Church, and 4,137 family medicine physician records in Virginia.
All 4,137 in Virginia → Every provider in New Church → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- David Hoshino, MDNew Church, VA 234151811975147
- Erin McCallNew Church, VA 234151952530602
- My Nguyen, MDOak Hall, VA 234161063472025
- Parker Dooley, MDOnancock, VA 234171598743809
- Michael Grillon, MDOnancock, VA 234171639178122
- Linwood Joyner, M.D.Nassawadox, VA 234131336680537
- Angelica Perry, DONassawadox, VA 234131497983886
- John Snyder, MDNassawadox, VA 234131750387288
Common questions
What is Sandra K. Balmoria, MD's NPI number?
Sandra K. Balmoria, MD's National Provider Identifier (NPI) is 1023379153, issued on Jun 5, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Sandra K. Balmoria, MD located?
The NPPES record lists a practice address at 5219 Lankford Highway, New Church, VA, 23415. Phone: (757) 414-0400. Providers update this record themselves, so call before visiting.
How can I verify Sandra K. Balmoria, MD's license?
NPPES lists Virginia license number 0116024489, as entered by the provider. 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 Sandra K. Balmoria, MD prescribe under Medicare Part D?
In 2024, Sandra K. Balmoria, MD had 5,772 Medicare Part D claims for 512 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Sandra K. Balmoria, MD's MIPS final score?
The 2023 MIPS final score is 81.9 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.