SILERA MERCEDES HOLGUIN BALBUENA (MD) – Rheumatology Physician, NPI 1447780614

SILERA MERCEDES HOLGUIN BALBUENA (MD) is a healthcare provider. based in Morristown, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 31018 (WV). The NPI Number for SILERA MERCEDES HOLGUIN BALBUENA (MD) is 1447780614

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SILERA MERCEDES HOLGUIN BALBUENA (MD)
NPI
1447780614
Phone
(973) 971-5000
Address
100 MADISON AVE
Enumeration Date
19 June 2017
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3043882303
Graduation Year
2014 (12 years ago)
PAC ID
2860863123
Group Practice PAC ID
3375441637
Professional Enrollment ID
I20230124001801
Address ID
WV253041228CH3100XSEXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for SILERA MERCEDES HOLGUIN BALBUENA (MD)

  • Morristown Medical Center, 100, Madison Avenue, Morristown, Morris County, New Jersey, 07960, United States

    MORRISTOWN, NJ 079606136

    Phone: (973) 971-5000

    Type: Mailing

  • 1220 E CUMBERLAND AVE UNIT 123

    TAMPA, FL 336024253

    Phone: (019) 534-0262

    Type: Mailing

  • 3100 MACCORKLE AVE STE 205

    CHARLESTON, WV 253041223

    Phone: (304) 388-2303

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $1,861.

Total Amount is formed as General ($1,861) + Research ($0) + Ownership ($0) = $1,861.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($643).

Total Amount

$1,861

General + Research + Ownership

Payments

97

Total payment records

General Amount

$1,861

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230124001801IInternal MedicineWVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4925$0
99213Established patient office or other outpatient visit, 20-29 minutes3523$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 07960)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375441637View full group profile
NameSpecialtyState
Emergency MedicineWV
Nurse PractitionerWV
Certified Registered Nurse Anesthetist (Crna)FL
-WV
Family PracticeWV
General SurgeryTX
O B S T E T R I C S/ G Y N E C O L O G YWV
-WV
Certified Registered Nurse Anesthetist (Crna)WV
Hospitalist, Family PracticeWV

Reviews

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Frequently asked questions

How do payers reference SILERA MERCEDES HOLGUIN BALBUENA (MD)?
For SILERA MERCEDES HOLGUIN BALBUENA (MD), use NPI 1447780614 as the unique 10-digit identifier.
Is there an active status for SILERA MERCEDES HOLGUIN BALBUENA (MD)?
For scheduling context, SILERA MERCEDES HOLGUIN BALBUENA (MD) is shown as active in the registry.
How would a patient describe SILERA MERCEDES HOLGUIN BALBUENA (MD)'s focus?
For SILERA MERCEDES HOLGUIN BALBUENA (MD), the primary taxonomy reads as Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SILERA MERCEDES HOLGUIN BALBUENA (MD)?
Directory geography for SILERA MERCEDES HOLGUIN BALBUENA (MD) centers on Morristown, New Jersey.
Can I trust this NPI listing for SILERA MERCEDES HOLGUIN BALBUENA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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