DR. DAVID ADRIAN BALLACK (DO) – Psychiatry Physician, NPI 1386134419
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. DAVID ADRIAN BALLACK (DO)
600 E Dixie Ave
Leesburg, FL 34748
Phone: (352) 392-0104
Type: Location
PO BOX 100183
GAINESVILLE, FL 326100183
Phone: (352) 392-0104
Fax: (352) 392-8217
Type: Mailing
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 320865784
Phone: (904) 819-5155
Type: Location
1600 SW Archer Rd
Gainesville, FL 326103888
Phone: (352) 265-7922
Type: Location
315 Palm Coast Pkwy NE
Palm Coast, FL 321373888
Phone: (386) 317-8930
Type: Location
Owen Drive, Bordeaux, Fayetteville, Cumberland County, North Carolina, 28305, United States
FAYETTEVILLE, NC 283043424
Phone: (910) 615-5095
Fax: (910) 615-9872
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($36).
Total Amount
$36
General + Research + Ownership
Payments
1
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka Pharmaceutical Development & Commercialization, Inc. | $36 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230914000230 | I | Psychiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34748)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Critical Care (Intensivists), Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Family Practice | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | FL |
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