Active NPI 1730167602 Individual Practitioner Male Practitioner

Dr. William Scott Ballinger , MD

Internal Medicine • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. William Ballinger, MD is a registered healthcare professional specializing in Internal Medicine in Mansfield, OH. Practice services are available at 770 BALGREEN DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

770 Balgreen Dr
Suite 203

Mansfield, OH 449064106

Telephone 4197566366

Fax 4197565549

Associated Practice Facility / Clinic

🏢 Advanced Dermatology Of North Central Ohio Inc Facility NPI 1073528733

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mansfield, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.7 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

28 Specialists

Practicing in Mansfield, OH (5516 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	396	308	$187.00	$105.07
99213 Established patient office or other outpatient visit, typically 15 minutes	137	118	$126.00	$88.55
83036 Hemoglobin A1C level	24	22	$27.00	$9.71

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	477	294	$187.00	$106.22
99213 Established patient office or other outpatient visit, typically 15 minutes	442	289	$126.00	$73.41
G0008 Administration of influenza virus vaccine	157	155	$36.00	$16.06
90662 Influenza vaccine split virus, preservative free	155	154	$180.77	$60.78
99442 Telephone medical discussion with physician, 11-20 minutes	104	93	$125.66	$72.95
99441 Telephone medical discussion with physician, 5-10 minutes	25	25	$73.68	$42.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$291.00	$162.53
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$39.64	$16.64
99495 Transitional care management services for problem of at least moderate complexity	11	11	$303.55	$180.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$189.00	$106.03

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	859	386	$186.95	$104.79
99213 Established patient office or other outpatient visit, typically 15 minutes	487	273	$126.00	$71.76
G0008 Administration of influenza virus vaccine	176	174	$36.00	$15.66
90662 Influenza vaccine split virus, preservative free	167	165	$114.00	$54.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	64	64	$316.00	$112.51
G0009 Administration of pneumococcal vaccine	38	38	$43.00	$15.75
90670 Pneumococcal vaccine for injection into muscle	23	23	$348.00	$207.97
99495 Transitional care management services for problem of at least moderate complexity	21	18	$294.00	$158.64
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$161.00	$101.37
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$39.00	$16.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$76.00	$43.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$104.00	$51.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	734	387	$126.00	$68.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	580	340	$187.00	$99.94
G0008 Administration of influenza virus vaccine	190	190	$36.00	$19.30
90662 Influenza vaccine split virus, preservative free	178	178	$114.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$316.00	$108.42
G0009 Administration of pneumococcal vaccine	73	73	$43.00	$19.03
90670 Pneumococcal vaccine for injection into muscle	49	49	$348.00	$192.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$161.00	$105.59
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$39.00	$15.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$477.00	$160.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$252.00	$129.13
69209 Removal of impacted ear wax by washing	16	15	$36.00	$12.65
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$40.00	$17.22
81002 Urinalysis, manual test	11	11	$7.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	956	444	$126.00	$67.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	251	$187.00	$99.53
G0008 Administration of influenza virus vaccine	182	182	$36.00	$23.63
90662 Influenza vaccine split virus, preservative free	108	108	$114.00	$47.61
G0009 Administration of pneumococcal vaccine	81	81	$43.00	$23.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	76	76	$40.00	$18.16
90670 Pneumococcal vaccine for injection into muscle	57	57	$348.00	$187.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$316.00	$107.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$161.00	$96.14
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$39.00	$15.64
81002 Urinalysis, manual test	19	16	$7.00	$3.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$76.00	$39.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$104.00	$49.88
99495 Transitional care management services for problem of at least moderate complexity	11	11	$294.00	$151.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-04-6477B

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0554592 (OH)

Practice Associates & Co-Workers

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

6 Associated Practitioners

Emily Bowman , CNP

Nurse Practitioner - Family

NPI 1144778754

Certified Nurse Practitioner

Dr. Joseph Bocka , MD

General Practice

NPI 1386784270

Doctor of Medicine (M.D.)

Becky Jensen , FNP

Nurse Practitioner - Family

NPI 1427598788

Family Nurse Practitioner

Tabbitha Branham , FNP-C

Nurse Practitioner - Family

NPI 1457910184

Family Nurse Practitioner (Certified)

Amber Galownia , CNP

Nurse Practitioner - Family

NPI 1629629753

Certified Nurse Practitioner

Dr. Daniella Caudle , MD

Family Medicine

NPI 1689311714

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 770 BALGREEN DR, SUITE 203, MANSFIELD, OH 449064106 (Tel: 4197566366)

📍

Updated Business Mailing Address October 19, 2016

Registered at 5400 FRANTZ RD, SUITE 250, DUBLIN, OH 430164144

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as WILLIAM BALLINGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Internal Medicine (License #35-04-6477B in OH)

🟢

Initial NPI Registration & Enumeration January 02, 2006

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: 1730167602

Entity Type:

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

Enumeration Date: January 02, 2006

Last Update: October 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5400 Frantz Rd, Suite 250

Dublin, OH 430164144

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.