Active NPI 1811280373 Individual Practitioner Male Practitioner

Dr. Daniel Joseph Ballow , MD

Urology • Pensacola, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Ballow, MD is a certified Urology practicing in Pensacola, FL. With approximately 15 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 2011, Dr. Ballow delivers high-quality medical care to the local community at 1717 N E ST.

Dr. Ballow maintains professional affiliations with Phoebe Physician Group Inc, Piedmont Providers Llc, Titus County Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, simple insertion of temporary bladder tube. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 N E St
Suite 430

Pensacola, FL 325016339

Telephone 8504378711

Associated Practice Facility / Clinic

🏢 The Surgery Group Pa Facility NPI 1902898802

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Pensacola, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

25 Specialists

Practicing in Pensacola, FL (1082 Statewide)

Telehealth Adoption Rate

24.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballow (15 Years) 15 Yrs

Pensacola Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	88	$283.00	$122.15
99213 Established patient office or other outpatient visit, typically 15 minutes	94	80	$192.00	$86.57
81002 Urinalysis, manual test	78	61	$30.00	$3.41
51702 Simple insertion of temporary bladder tube	61	16	$213.00	$58.86
51798 Ultrasound measurement of bladder capacity after voiding	34	31	$56.00	$10.58
52000 Diagnostic exam of bladder and urethra using an endoscope	28	26	$565.00	$226.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$283.00	$106.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$370.00	$125.03
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	17	16	$45.00	$15.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$92.00	$27.73
55700 Biopsy of prostate gland	14	13	$596.00	$121.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	53	32	$30.00	$3.41
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$192.00	$87.48
51798 Ultrasound measurement of bladder capacity after voiding	21	16	$56.00	$10.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$283.00	$108.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$283.00	$123.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$370.00	$126.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$109.81	$99.13
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$70.00	$67.90
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$70.00	$67.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	141	$73.40	$68.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	97	$107.05	$100.87
99213 Established patient office or other outpatient visit, typically 15 minutes	94	73	$70.00	$68.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	52	$105.00	$100.87
52000 Diagnostic exam of bladder and urethra using an endoscope	49	47	$120.61	$82.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$168.51	$138.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	24	$150.00	$72.18
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$210.00	$102.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$100.00	$85.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$85.00	$38.52
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$330.00	$138.19
55700 Biopsy of prostate gland	14	14	$175.00	$134.02
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$880.00	$427.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$70.38	$31.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	119	$70.00	$52.72
99213 Established patient office or other outpatient visit, typically 15 minutes	110	99	$70.00	$52.97
99221 Initial hospital inpatient care per day, typically 30 minutes	55	52	$210.00	$105.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$35.00	$26.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$35.00	$26.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$165.00	$133.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$105.00	$81.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$105.00	$80.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$165.00	$133.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	19	$150.00	$74.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$85.00	$40.39
52000 Diagnostic exam of bladder and urethra using an endoscope	20	20	$136.00	$81.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	17	$330.00	$159.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$100.00	$78.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	259	$139.88	$68.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	107	$210.58	$102.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$323.45	$157.98
51798 Ultrasound measurement of bladder capacity after voiding	103	90	$40.00	$12.28
81003 Automated urinalysis test	85	78	$15.00	$2.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	66	$79.81	$39.19
52000 Diagnostic exam of bladder and urethra using an endoscope	62	60	$335.00	$186.00
99221 Initial hospital inpatient care per day, typically 30 minutes	60	56	$210.00	$103.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$213.79	$105.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$150.00	$71.59
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	16	$330.00	$161.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	20	$85.00	$39.90
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$105.00	$51.62
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$215.00	$81.60
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$880.00	$456.01
55700 Biopsy of prostate gland	11	11	$505.00	$250.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	221	$150.00	$72.02
51798 Ultrasound measurement of bladder capacity after voiding	175	141	$40.00	$15.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	103	$220.00	$106.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$335.00	$164.41
99221 Initial hospital inpatient care per day, typically 30 minutes	82	82	$210.55	$101.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	31	$85.00	$39.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	32	$150.00	$73.27
52000 Diagnostic exam of bladder and urethra using an endoscope	45	41	$335.00	$149.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	42	$90.00	$43.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$220.00	$107.69
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	21	$330.00	$122.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$280.00	$137.97
74420 Imaging of urinary tract	14	12	$54.29	$17.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$125.00	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	609	316	$14.00	$3.02
99213 Established patient office or other outpatient visit, typically 15 minutes	281	187	$97.94	$71.66
76705 Limited ultrasound scan of abdomen	248	186	$223.06	$87.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	203	203	$229.33	$161.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	116	$147.44	$105.62
52000 Diagnostic exam of bladder and urethra using an endoscope	76	67	$459.87	$161.15
99221 Initial hospital inpatient care per day, typically 30 minutes	67	66	$201.04	$102.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$151.74	$107.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$73.50	$42.25
51798 Ultrasound measurement of bladder capacity after voiding	19	19	$46.32	$18.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$363.16	$139.49
51702 Simple insertion of temporary bladder tube	17	12	$167.65	$62.01
74420 Imaging of urinary tract	16	16	$40.00	$17.57
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$867.81	$430.75
55700 Biopsy of prostate gland	14	14	$505.00	$230.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	12	$45.00	$24.71
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$312.50	$109.54
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$385.45	$34.31

Medical Specialties & State Licenses

CMS Verified: 2026-04-27

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME125306

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX U0071

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

017809100 (FL)

Commercial Insurance / Payer ID Florida Blue

HVQ2Q (FL)

Hospital & Practice Group Affiliations

Regional Employee Assistance Program Inc

605 E San Antonio St, Victoria, TX 779016050

Phone: 3615736351

The Southeast Permanente Medical Group

3495 Piedmont Rd Ne, Atlanta, GA 303051729

Phone: 4043647206

Piedmont Providers Llc

775 Poplar Rd, Newnan, GA 302658300

Phone: 7704004630

Phoebe Physician Group Inc

151 Mayo St C, Americus, GA 317094782

Phone: 2299282882

Phoebe Physician Group Inc

151 Mayo St, Americus, GA 317094782

Phone: 2299282900

Phoebe Physician Group Inc

151 Mayo St D, Americus, GA 317094782

Phone: 2299281100

Phoebe Physician Group Inc

151 Mayo St A, Americus, GA 317094782

Phone: 2293125800

Phoebe Physician Group Inc

151 Mayo St E, Americus, GA 317094782

Phone: 2299311159

Phoebe Physician Group Inc

417 W 3rd Ave, Albany, GA 317011943

Phone: 2293125222

Titus County Hospital District

2001 N Jefferson Ave, Mount Pleasant, TX 754552390

Phone: 9034347111

Secondary Practice Locations

910 E Houston St Ste 600

Tyler, TX 757028304

Phone: 9036062644

2001 N Jefferson Ave Ste 210

Mount Pleasant, TX 754552390

Phone: 9034347111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Tuy Su , PA-C

Physician Assistant

NPI 1326148495

Physician Assistant (Certified)

Dr. Gilda Digman , MD

Urology

NPI 1457849978

Doctor of Medicine (M.D.)

Dr. Eduardo Puente , MD

Urology

NPI 1740252865

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Business Mailing Address February 18, 2026

Registered at 1717 N E ST STE 430, PENSACOLA, FL 325016345 (Tel: 8504378711)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Surgery (License #U0071 in TX)

✅

NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2017

Registered at 1717 N E ST, SUITE 430, PENSACOLA, FL 325016339 (Tel: 8504378711)

📍

Updated Business Mailing Address February 09, 2017

Registered at 1717 N E ST, SUITE 430, PENSACOLA, FL 325016339 (Tel: 8504378711)

👤

Provider Name / Credentials Updated February 09, 2017

Recorded as DANIEL BALLOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Surgery (License #0041214 in TX)

✅

NPI Profile Active May 26, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2016

Registered at 1717 N E ST, SUITE 430, PENSACOLA, FL 325016339 (Tel: 8504378711)

📍

Updated Business Mailing Address May 26, 2016

Registered at 1717 N E ST, SUITE 430, PENSACOLA, FL 325016339 (Tel: 8504378711)

👤

Provider Name / Credentials Updated May 26, 2016

Recorded as DANIEL BALLOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2016

Surgery (License #0041214 in TX)

🟢

Initial NPI Registration & Enumeration May 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811280373

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2011

Last Update: April 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1717 N E St Ste 430

Pensacola, FL 325016345

Phone: 8504378711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.