MR. KEITH E. BALLINGER (PA C) – Urology Physician, NPI 1114934759
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. KEITH E. BALLINGER (PA C)
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384693
Phone: (217) 238-6055
Fax: (217) 543-3751
Type: Mailing
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
1000 HEALTH CENTER DR STE 305
MATTOON, IL 619384644
Phone: (217) 258-4186
Fax: (217) 348-4185
Type: Location
211, South Walnut Street, Arthur, Moultrie County, Illinois, 61911, United States
ARTHUR, IL 619111269
Phone: (217) 543-3444
Fax: (217) 543-3751
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $2,228.
Total Amount is formed as General ($2,228) + Research ($0) + Ownership ($0) = $2,228.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Medtronic, Inc. ($1,336).
Total Amount
$2,228
General + Research + Ownership
Payments
54
Total payment records
General Amount
$2,228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,336 |
| Sumitomo Pharma America, Inc. | $186 |
| AstraZeneca Pharmaceuticals LP | $157 |
| Merck Sharp & Dohme LLC | $94 |
| PFIZER INC. | $70 |
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: 2004-05-06
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 |
|---|---|---|---|---|
| I20040506000542 | I | Physician Assistant | IL | 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 | 510 | 326 | $0 |
| 81003 | Automated urinalysis test | 197 | 117 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 188 | 114 | $0 |
| 51741 | Electronic assessment of bladder emptying | 176 | 121 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 48 | $0 |
Insurance plans in this area (ZIP 61938)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 83036 | Hemoglobin A1C level | 23 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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