Active NPI 1063703130 Individual Practitioner Male Practitioner

Dr. Daniel Ballantine , DO

Internal Medicine • West Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Ballantine, DO is a certified Internal Medicine practicing in West Reading, PA. With approximately 15 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2011, Dr. Ballantine delivers high-quality medical care to the local community at 6TH AVE AND SPRUCE STREET.

Dr. Ballantine is affiliated with Johns Hopkins Community Physicians, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6th Ave And Spruce Street

West Reading, PA 196111428

Telephone 6109885455

Associated Practice Facility / Clinic

🏢 Phoenixville Clinic Company Llc Facility NPI 1790746345

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in West Reading, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +0.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

112 Specialists

Practicing in West Reading, PA (7609 Statewide)

Telehealth Adoption Rate

2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballantine (15 Years) 15 Yrs

West Reading Specialty Average (14.2 Years) 14.2 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	377	369	$491.00	$174.43
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	43	22	$117.00	$30.93
99291 Critical care, first 30-74 minutes	21	21	$599.00	$217.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$331.00	$133.80
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	13	13	$528.00	$197.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	376	365	$491.00	$181.32
99291 Critical care, first 30-74 minutes	11	11	$599.00	$226.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	235	229	$491.00	$208.10
99220 Hospital observation care, typically 70 minutes	202	202	$451.00	$190.20
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	18	18	$528.00	$224.83
99291 Critical care, first 30-74 minutes	16	16	$599.00	$234.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	187	183	$451.00	$193.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	103	102	$491.00	$210.74
99219 Hospital observation care, typically 50 minutes	32	32	$329.00	$143.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	144	142	$461.65	$196.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	109	$513.25	$216.56
99219 Hospital observation care, typically 50 minutes	23	22	$336.57	$146.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	164	$609.21	$201.20
99220 Hospital observation care, typically 70 minutes	80	79	$557.52	$185.29
99219 Hospital observation care, typically 50 minutes	18	18	$408.78	$135.70
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	16	16	$652.00	$217.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	142	139	$602.00	$199.16
99220 Hospital observation care, typically 70 minutes	129	127	$552.00	$183.88
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	20	20	$647.00	$215.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	292	141	$214.00	$70.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	134	$602.00	$197.72
99239 Hospital discharge day management, more than 30 minutes	98	96	$317.00	$105.07
99220 Hospital observation care, typically 70 minutes	83	82	$552.00	$182.12
99217 Hospital observation care on day of discharge	44	44	$215.00	$71.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	16	$116.00	$38.57
99225 Subsequent observation care, typically 25 minutes per day	21	20	$215.00	$71.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	11	$309.00	$102.31
99219 Hospital observation care, typically 50 minutes	11	11	$403.00	$133.16

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA OT013969

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.

Hospital & Practice Group Affiliations

Johns Hopkins Community Physicians, Inc

5755 Cedar Ln, Columbia, MD 210442912

Phone: 4108844644

Johns Hopkins Community Physicians, Inc

1000 E Eager St, Baltimore, MD 212025533

Phone: 4105229800

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. James Coyle , DO

Internal Medicine

NPI 1083973523

Doctor of Osteopathic Medicine (D.O.)

Dr. James Madden , MD

Internal Medicine

NPI 1174567879

Doctor of Medicine (M.D.)

Dr. Rosamond Everard , MD

Internal Medicine

NPI 1184657868

Doctor of Medicine (M.D.)

Dr. Kathleen Kay , MD

Internal Medicine

NPI 1275530511

Doctor of Medicine (M.D.)

Dr. Sheryl Jones-Henderson , MD

Internal Medicine

NPI 1386605020

Doctor of Medicine (M.D.)

Dr. Scott Duffy , MD

Internal Medicine

NPI 1437154341

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 November 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2014

Registered at 6TH AVE AND SPRUCE STREET, WEST READING, PA 196111428 (Tel: 6109885455)

📍

Updated Business Mailing Address November 17, 2014

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 4846280799)

👤

Provider Name / Credentials Updated November 17, 2014

Recorded as DANIEL BALLANTINE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2014

Internal Medicine (License #OT013969 in PA)

🟢

Initial NPI Registration & Enumeration April 25, 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: 1063703130

Entity Type:

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

Enumeration Date: April 25, 2011

Last Update: November 17, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 13579

Reading, PA 196123579

Phone: 4846280799

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.