Active NPI 1619066123 Individual Practitioner Male Practitioner

Dr. Bruce J Ballon , MD

Ophthalmology • Arlington, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Ballon, MD is a certified Ophthalmology practicing in Arlington, WA. With approximately 38 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 1988, Dr. Ballon delivers high-quality medical care to the local community at 903 MEDICAL CENTER DR.

Dr. Ballon is affiliated with Sight Partners Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

903 Medical Center Dr

Arlington, WA 982231697

Telephone 3604358595

Fax 3604355233

Associated Practice Facility / Clinic

🏢 Public Hospital Dist No 1 Skagit Facility NPI 1073554903

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Arlington, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Arlington, WA (552 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballon (38 Years) 38 Yrs

Arlington Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	157	145	$120.00	$90.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	96	$175.00	$126.43
92136 Measurement of corneal curvature and depth of eye	130	86	$110.82	$40.01
66984 Removal of cataract with insertion of lens	126	77	$1658.00	$511.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$260.00	$165.04
92133 Imaging of optic nerve	32	29	$111.00	$35.77
92134 Imaging of retina	25	22	$111.00	$39.82
92083 Exam of visual field with extended testing	22	22	$140.00	$61.20
66821 Removal of recurring cataract in lens capsule using a laser	21	21	$738.10	$367.56
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	$20.00	$16.25
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	13	$58.46	$11.77
92025 Ct scan of cornea	14	14	$60.00	$33.48
66821 Removal of recurring cataract in lens capsule using a laser	11	11	$590.91	$337.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	204	$120.00	$90.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	136	$175.00	$127.14
92136 Measurement of corneal curvature and depth of eye	123	82	$119.56	$39.95
66984 Removal of cataract with insertion of lens	115	69	$1658.00	$501.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$260.00	$166.51
66821 Removal of recurring cataract in lens capsule using a laser	39	39	$615.38	$345.82
92133 Imaging of optic nerve	38	38	$111.00	$36.58
92134 Imaging of retina	31	30	$111.00	$40.40
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	30	24	$58.46	$11.52
92083 Exam of visual field with extended testing	26	26	$140.00	$63.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$112.41
66821 Removal of recurring cataract in lens capsule using a laser	12	12	$625.00	$372.80

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	246	211	$175.53	$128.58
99213 Established patient office or other outpatient visit, typically 15 minutes	181	165	$120.00	$90.34
92136 Measurement of corneal curvature and depth of eye	125	88	$136.69	$42.99
66984 Removal of cataract with insertion of lens	110	73	$1658.00	$496.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$258.35	$165.65
66821 Removal of recurring cataract in lens capsule using a laser	58	56	$672.41	$336.91
92133 Imaging of optic nerve	43	40	$111.00	$36.12
92134 Imaging of retina	38	34	$111.00	$40.75
92083 Exam of visual field with extended testing	35	34	$140.00	$63.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$180.00	$111.86

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	356	325	$175.00	$131.41
66984 Removal of cataract with insertion of lens	135	84	$1658.00	$483.47
92136 Measurement of corneal curvature and depth of eye	132	87	$150.00	$45.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$260.00	$165.78
99213 Established patient office or other outpatient visit, typically 15 minutes	78	47	$120.00	$92.65
92133 Imaging of optic nerve	48	46	$111.00	$36.82
92134 Imaging of retina	43	41	$111.00	$41.61
66821 Removal of recurring cataract in lens capsule using a laser	39	38	$525.64	$295.98
92083 Exam of visual field with extended testing	34	34	$140.00	$65.00
92014 Established patient complete exam of visual system	20	20	$240.00	$129.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$80.00	$57.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	249	226	$185.66	$129.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	138	$184.79	$110.80
92136 Measurement of corneal curvature and depth of eye	116	81	$123.28	$52.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$305.00	$167.97
66984 Removal of cataract with insertion of lens	91	60	$1956.29	$522.04
92134 Imaging of retina	57	54	$100.39	$41.58
66821 Removal of recurring cataract in lens capsule using a laser	50	47	$675.60	$309.46
92012 Established patient problem focused exam of visual system	39	33	$125.77	$91.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$85.00	$46.52
92133 Imaging of optic nerve	36	34	$100.31	$37.49
92083 Exam of visual field with extended testing	22	22	$140.00	$65.24
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$2582.14	$695.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	347	306	$185.00	$127.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	165	$185.00	$108.98
92136 Measurement of corneal curvature and depth of eye	128	92	$123.75	$56.00
66984 Removal of cataract with insertion of lens	119	78	$1970.00	$562.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$305.00	$164.92
92134 Imaging of retina	75	62	$100.00	$41.39
92012 Established patient problem focused exam of visual system	59	45	$125.00	$88.75
92133 Imaging of optic nerve	51	49	$100.00	$36.74
66821 Removal of recurring cataract in lens capsule using a laser	50	41	$691.20	$309.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	34	$85.00	$45.81
92083 Exam of visual field with extended testing	44	44	$140.00	$64.32
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$12.17
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$2620.00	$731.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	362	331	$185.00	$126.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	209	$185.00	$106.12
92136 Measurement of corneal curvature and depth of eye	161	112	$123.32	$59.52
66984 Removal of cataract with insertion of lens	153	100	$1970.00	$551.95
92012 Established patient problem focused exam of visual system	119	84	$125.00	$87.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$305.00	$161.55
92134 Imaging of retina	61	53	$100.00	$41.86
92133 Imaging of optic nerve	59	58	$100.00	$35.92
66821 Removal of recurring cataract in lens capsule using a laser	50	39	$640.00	$291.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$85.00	$44.13
92083 Exam of visual field with extended testing	41	41	$140.00	$61.46
92004 New patient complete exam of visual system	11	11	$250.00	$152.68
66982 Complex removal of cataract with insertion of prosthetic lens	11	11	$2620.00	$701.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	351	317	$184.83	$123.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	196	$185.00	$106.46
92136 Measurement of corneal curvature and depth of eye	179	126	$121.98	$67.51
66984 Removal of cataract with insertion of lens	171	113	$1933.13	$557.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$305.00	$162.26
92012 Established patient problem focused exam of visual system	117	78	$125.00	$85.15
92133 Imaging of optic nerve	63	61	$100.00	$36.36
92134 Imaging of retina	56	51	$100.00	$40.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	35	$85.00	$43.42
66821 Removal of recurring cataract in lens capsule using a laser	43	37	$640.00	$286.17
92083 Exam of visual field with extended testing	41	40	$140.00	$63.64
92004 New patient complete exam of visual system	22	22	$250.00	$143.92
76514 Ultrasound scan of cornea to determine thickness	15	15	$25.00	$13.32
66982 Complex removal of cataract with insertion of prosthetic lens	14	13	$2620.00	$675.87

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WA MD00029300

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8137275 (WA)

Hospital & Practice Group Affiliations

Sight Partners Physicians Pc

903 Medical Ctr Dr, Arlington, WA 982232600

Phone: 3604358595

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Bruce Wietharn , MD

Ophthalmology

NPI 1255420782

Doctor of Medicine (M.D.)

Dr. Michelle Nguyen , MD

Ophthalmology

NPI 1487284329

Doctor of Medicine (M.D.)

Dr. Natalia Bajenova , MD

Ophthalmology

NPI 1902066228

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 March 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2011

Registered at 903 MEDICAL CENTER DR, ARLINGTON, WA 982231697 (Tel: 3604358595)

📍

Updated Business Mailing Address March 15, 2011

Registered at 903 MEDICAL CENTER DR, ARLINGTON, WA 982231697 (Tel: 3604358595)

👤

Provider Name / Credentials Updated March 15, 2011

Recorded as BRUCE BALLON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2011

Ophthalmology (License #MD00029300 in WA)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1619066123

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: March 15, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

903 Medical Center Dr

Arlington, WA 982231697

Phone: 3604358595

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.