Active NPI 1285952937 Individual Practitioner Male Practitioner

Dr. Darrell Fitzgerald Ballinger , DPM

Podiatrist - Foot Surgery • Centerville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darrell Ballinger, DPM is a certified Podiatrist - Foot Surgery practicing in Centerville, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Ballinger delivers high-quality medical care to the local community at 6438 WILMINGTON PIKE STE 125.

Dr. Ballinger is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6438 Wilmington Pike Ste 125

Centerville, OH 454597033

Telephone 9374580085

Fax 9374580212

Associated Practice Facility / Clinic

🏢 Mark R. Gazall, D.o., Llc Facility NPI 1174561872

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist - Foot Surgery in Centerville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs Matches City Avg

City Avg: 20.0 Yrs

State Avg: 30.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Centerville, OH (51 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballinger (20 Years) 20 Yrs

Centerville Specialty Average (20.0 Years) 20.0 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
11042 Removal of skin and tissue, 20.0 sq cm or less	107	41	$207.00	$55.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	25	$113.00	$33.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$360.00	$124.48
99213 Established patient office or other outpatient visit, typically 15 minutes	43	30	$188.00	$62.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$279.00	$105.78
99213 Established patient office or other outpatient visit, typically 15 minutes	30	20	$188.00	$83.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	14	$279.00	$92.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$113.00	$53.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$279.00	$78.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	118	48	$207.00	$57.36
99213 Established patient office or other outpatient visit, typically 15 minutes	81	41	$188.00	$64.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	48	$360.00	$127.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	24	$113.00	$34.65
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$188.00	$84.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	16	$279.00	$94.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$279.00	$108.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$279.00	$77.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$113.00	$54.05
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$237.00	$81.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	127	52	$197.00	$55.84
99213 Established patient office or other outpatient visit, typically 15 minutes	75	43	$179.00	$62.28
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	61	12	$71.00	$24.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	45	$342.00	$123.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	22	$99.00	$34.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	28	$107.00	$34.15
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$179.00	$81.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	30	$265.00	$104.73
11721 Removal of fingernails or toenails, 6 or more nails	27	17	$77.00	$40.78
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$225.00	$87.43
28820 Amputation of toe at joint between the forefoot and toes	27	16	$978.00	$130.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$265.00	$89.56
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	15	12	$258.00	$82.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$265.00	$79.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	222	63	$196.90	$58.92
99213 Established patient office or other outpatient visit, typically 15 minutes	129	64	$179.00	$66.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	32	$99.00	$36.66
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$177.95	$89.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$331.66	$133.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$265.00	$82.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	32	$107.00	$35.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$264.55	$109.66
11721 Removal of fingernails or toenails, 6 or more nails	30	24	$77.60	$43.31
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	25	11	$71.00	$26.62
99221 Initial hospital inpatient care per day, typically 30 minutes	23	20	$225.00	$99.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$117.29	$54.37
28810 Amputation of foot	20	14	$763.90	$350.96
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	16	12	$251.88	$79.35
28820 Amputation of toe at joint between the forefoot and toes	14	12	$978.00	$168.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$439.00	$183.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	264	151	$175.00	$71.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	92	$125.00	$43.83
11042 Removal of skin and tissue, 20.0 sq cm or less	109	44	$175.00	$119.87
11721 Removal of fingernails or toenails, 6 or more nails	84	47	$80.00	$44.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$250.00	$104.44
G0127 Trimming of dystrophic nails, any number	51	33	$50.00	$21.93
11719 Trimming of fingernails or toenails	30	22	$60.00	$13.25
11042 Removal of skin and tissue, 20.0 sq cm or less	29	13	$175.00	$61.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$250.00	$201.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	18	16	$20.00	$1.39
11720 Removal of fingernails or toenails, 1-5 nails	16	11	$75.00	$31.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$180.00	$136.59
73630 X-ray of foot, minimum of 3 views	14	12	$85.00	$26.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	198	103	$175.00	$71.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	78	$125.00	$42.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$250.00	$101.70
11042 Removal of skin and tissue, 20.0 sq cm or less	85	35	$175.00	$113.38
99213 Established patient office or other outpatient visit, typically 15 minutes	69	37	$173.84	$49.90
11721 Removal of fingernails or toenails, 6 or more nails	65	40	$80.00	$42.64
73630 X-ray of foot, minimum of 3 views	32	25	$85.00	$29.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	13	$20.00	$1.57
97597 Removal of tissue from wound, 20.0 sq cm or less	19	11	$389.47	$23.67
11719 Trimming of fingernails or toenails	18	15	$60.00	$13.48
11042 Removal of skin and tissue, 20.0 sq cm or less	17	12	$175.00	$58.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$250.00	$197.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$74.63
11721 Removal of fingernails or toenails, 6 or more nails	12	12	$80.00	$24.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	124	65	$63.00	$42.04
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$124.13	$66.23
99213 Established patient office or other outpatient visit, typically 15 minutes	61	21	$124.13	$48.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$183.93	$100.60
11720 Removal of fingernails or toenails, 1-5 nails	51	33	$54.22	$30.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$73.59	$40.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$183.93	$72.87
11721 Removal of fingernails or toenails, 6 or more nails	15	15	$63.00	$24.03
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$126.86	$69.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	310	222	$55.00	$42.78
99213 Established patient office or other outpatient visit, typically 15 minutes	194	150	$90.00	$70.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$125.00	$102.25
11055 Removal of single thickened skin growth	37	35	$75.00	$45.03
11056 Removal of noncancer thickened skin growth, 2-4 growths	25	23	$95.00	$55.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$60.00	$41.61
11720 Removal of fingernails or toenails, 1-5 nails	12	11	$40.00	$30.56

Medical Specialties & State Licenses

CMS Verified: 2024-11-14

Podiatrist - Foot Surgery Primary Specialty

NUCC Taxonomy Code: 213ES0131X

State License OH 36.003657

Definition to come...

Podiatrist

NUCC Taxonomy Code: 213E00000X

State License OH 36.003657

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Podiatrist - Foot & Ankle Surgery

NUCC Taxonomy Code: 213ES0103X

State License OH 36003657

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0083030 (OH)

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

425 W Grand Ave, Dayton, OH 454054722

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

6438 Wilmington Pike, Centerville, OH 454597034

Phone: 9374580085

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Sarah Sample-Eppinger , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1578925277

Doctor of Podiatric Medicine

Lori Washing , ACNP-AG

Nurse Practitioner - Acute Care

NPI 1801561550

ACNPAG

Alyson Spiller , CNP

Nurse Practitioner - Acute Care

NPI 1891518171

Certified Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2024

Podiatrist (License #36.003657 in OH)

📍

Updated Practice Location March 08, 2021

Registered at 6438 WILMINGTON PIKE STE 125, CENTERVILLE, OH 454597033 (Tel: 9374580085)

📍

Updated Business Mailing Address March 08, 2021

Registered at 1 PRESTIGE PL STE 550, MIAMISBURG, OH 453426115 (Tel: 9377621309)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2021

Podiatrist (License #36003657 in OH)

📍

Updated Business Mailing Address January 15, 2019

Registered at 415 W HARDING RD, SPRINGFIELD, OH 455041706 (Tel: 9373998011)

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 1911 N FAIRFIELD RD, SUITE 210, BEAVERCREEK, OH 454322762 (Tel: 9374269500)

📍

Updated Business Mailing Address March 02, 2016

Registered at 5925 N MAIN ST, SUITE D, DAYTON, OH 454153153 (Tel: 9374269500)

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as DARRELL BALLINGER, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Podiatrist (License #36.003657 in OH)

🟢

Initial NPI Registration & Enumeration May 05, 2010

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: 1285952937

Entity Type:

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

Enumeration Date: May 05, 2010

Last Update: November 14, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Prestige Pl Ste 550

Miamisburg, OH 453426115

Phone: 9377621309

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.