2026 NPPES data Gastroenterology Physician NPI 1588866370 MD
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VALESKA BALDERAS, MD

Gastroenterology Physician in MCALLEN, Texas. 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
4K
Medicare Part D claims · 1K beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.001/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$854.5
38 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VALESKA BALDERAS, MD reported a CMS MIPS final score of 92.001/100 — above the 83.1 national average — and filed 3,896 Medicare Part D claims in 2023.

92.001/100
MIPS score · +9 vs avg
4K
Part D claims, 2023
79%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

VALESKA BALDERAS, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 Top 32% higher than 68% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

VALESKA BALDERAS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about VALESKA BALDERAS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/04/2007

NPI 1588866370

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

3,896 368% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

92.001/100 8.90100000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Gastroenterology Physician compares to other specialties among Texas providers

Texas providers

Gastroenterology Physician share within Texas

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Texas

Medicare quality performance — MIPS

VALESKA BALDERAS, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
92.001/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 92.001/100 vs national avg 83.1

0%100%National avg83%92%
MIPS final score (Gastroenterology Physician) — 92.001/100 vs national avg 83.1

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).

VALESKA BALDERAS, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 801 E NOLANA AVE, MCALLEN, TX, 78504, with a listed phone of (956) 686-2626. NPI 1588866370 was issued on 06/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDERAS 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 3,896 prescription claims written by this provider, covering 1,002 Medicare beneficiaries and totaling roughly $2.2 million in drug spend, split 21% brand-name and 79% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.001/100 for the 2023 performance year (Quality 65.267, Cost 87.3545), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

801 E NOLANA AVE
MCALLEN, TX 78504

Provider Details

NPI 1588866370
Specialty Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 06/04/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.001
Final Score
Avg: 83.1
65.267
Quality
87.3545
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where VALESKA BALDERAS, MD 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.

MRG HEALTH TEXAS PLLC
HOUSTON, TX
TEXAS GASTROENTEROLOGY INSTITUTE PA
WESLACO, TX

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 VALESKA BALDERAS, MD. Source: openpaymentsdata.cms.gov.

Total received

$855

Largest payer

ABBVIE 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to VALESKA BALDERAS, MD. To verify VALESKA BALDERAS, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

VALESKA BALDERAS, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 3,896 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.

3,896
Total Claims
$2.2M
Total Drug Cost
1,002
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,229
Total Day Supply
175,624
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$2.0M
Generic Drug Cost
$146K
Antibiotic Claims
238

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
2.28
Gender Split
73% female / 27% male
Age Distribution
<65: 148, 65-74: 531, 75-84: 264, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What VALESKA BALDERAS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Famotidine
811
Pantoprazole Sodium
420
Omeprazole
354
Sucralfate
201
Linzess
Linaclotide
195
Dicyclomine Hcl
180
Lactulose
154
Xifaxan
Rifaximin
136
Constulose
Lactulose
129
Ursodiol
105

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

Gastroenterology Physician Overview

How VALESKA BALDERAS, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

VALESKA BALDERAS, MD's 3,896 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as BALDERAS.

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

Frequently Asked Questions

What is VALESKA BALDERAS, MD's specialty?
VALESKA BALDERAS, MD specializes in Gastroenterology Physician and practices in MCALLEN, Texas. Credentials: MD.
How much does VALESKA BALDERAS, MD prescribe under Medicare Part D?
In 2023, VALESKA BALDERAS, MD wrote 3,896 Medicare Part D claims totaling $2.2M in drug costs for 1,002 beneficiaries.
What is VALESKA BALDERAS, MD's Medicare quality score?
VALESKA BALDERAS, MD has a CMS MIPS Final Score of 92.001/100 (Quality: 65.267, Cost: 87.3545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VALESKA BALDERAS, MD located?
VALESKA BALDERAS, MD is located at 801 E NOLANA AVE, MCALLEN, TX, 78504. Phone: (956) 686-2626.
What is VALESKA BALDERAS, MD's NPI number?
VALESKA BALDERAS, MD's National Provider Identifier (NPI) is 1588866370, issued on 06/04/2007.
Does VALESKA BALDERAS, MD prescribe more brand-name or generic drugs?
VALESKA BALDERAS, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $2.0M in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does VALESKA BALDERAS, MD prescribe most often?
Based on 2023 Medicare Part D data, VALESKA BALDERAS, MD's most frequently prescribed drugs include Famotidine, Pantoprazole Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VALESKA BALDERAS, MD accept Medicare?
VALESKA BALDERAS, MD appears in CMS Medicare data with 3,896 Part D claims and 1,002 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VALESKA BALDERAS, MD's credentials?
VALESKA BALDERAS, MD's NPI is 1588866370 with credentials MD. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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