DAVID S BALLESTAS (MD) – Internal Medicine Physician, NPI 1609969419
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
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Provider Addresses for DAVID S BALLESTAS (MD)
2525, Harbor Boulevard, Port Charlotte, Charlotte County, Florida, 33952, United States
SUITE 102
PORT CHARLOTTE, FL 33952
Phone: (941) 629-7593
Fax: (941) 625-2751
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($136).
Total Amount
$439
General + Research + Ownership
Payments
21
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $136 |
| Astellas Pharma US Inc | $61 |
| AstraZeneca Pharmaceuticals LP | $42 |
| Amgen Inc. | $36 |
| Lilly USA, LLC | $25 |
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: 2012-03-30
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 |
|---|---|---|---|---|
| I20120330000074 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,013 | 474 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 330 | 295 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 211 | 211 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 174 | 81 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 137 | 137 | $0 |
Insurance plans in this area (ZIP 33952)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 85610 | Blood test, clotting time | 164 | 28 |
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