DR. MARGARET BALYA (M.D.) – Psychiatry Physician, NPI 1427107242
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
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Provider Addresses for DR. MARGARET BALYA (M.D.)
26, City Hall Mall, Medford, Middlesex County, Massachusetts, 02155, United States
MEDFORD, MA 021554754
Phone: (781) 306-5463
Fax: (781) 306-5015
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081029000946 | I | Psychiatry | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 48 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 50 | 22 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 30 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 15 | $0 |
Insurance plans in this area (ZIP 02155)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MA | 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| Clinical Social Worker | MA | |
| - | MA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| - | MA | |
| Internal Medicine | MA |
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