DR. PHILLIP W BALE (MD) – Family Medicine Physician, NPI 1376533992
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for DR. PHILLIP W BALE (MD)
201, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011759
Phone: (270) 780-2497
Fax: (270) 783-3750
Type: Mailing
1330, North Race Street, Glasgow, Barren County, Kentucky, 42141, United States
GLASGOW, KY 421413465
Phone: (270) 629-5111
Fax: (270) 783-3760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 169 Open Payments records for all available years, with a total value of $2,523.
Total Amount is formed as General ($2,523) + Research ($0) + Ownership ($0) = $2,523.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($383).
Total Amount
$2,523
General + Research + Ownership
Payments
169
Total payment records
General Amount
$2,523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $383 |
| Novo Nordisk Inc | $306 |
| PFIZER INC. | $209 |
| ABBVIE INC. | $182 |
| Phathom Pharmaceuticals, Inc. | $161 |
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: 2007-09-19
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 |
|---|---|---|---|---|
| I20070919000378 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,400 | 12 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 466 | 156 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 426 | 301 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 393 | 291 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 388 | 291 | $0 |
Insurance plans in this area (ZIP 42101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 83036 | Hemoglobin A1C level | 187 | 125 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| U R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| Nurse Practitioner | KY |
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