DR. ALBERTO BALLESTEROS (MD) – Psychiatry Physician, NPI 1972527430
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
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Provider Addresses for DR. ALBERTO BALLESTEROS (MD)
Toms River, Ocean County, New Jersey, United States
TOMS RIVER, NJ 087551245
Phone: (732) 914-3843
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 44 Open Payments records for all available years, with a total value of $775.
Total Amount is formed as General ($775) + Research ($0) + Ownership ($0) = $775.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($283).
Total Amount
$775
General + Research + Ownership
Payments
44
Total payment records
General Amount
$775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $283 |
| Teva Pharmaceuticals USA, Inc. | $118 |
| Indivior Inc. | $79 |
| Alkermes, Inc. | $55 |
| Otsuka America Pharmaceutical, Inc. | $39 |
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: 2007-11-16
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 |
|---|---|---|---|---|
| I20071116000013 | I | Psychiatry | NJ | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 632 | 224 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 532 | 218 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 106 | 77 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 53 | 51 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 51 | 50 | $0 |
Insurance plans in this area (ZIP 08755)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NJ | 90792 | Psychiatric diagnostic evaluation with medical services | 187 | 176 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | NJ | |
| - | NJ | |
| - | NY | |
| Hematology/Oncology, Hematology | NY | |
| - | NJ | |
| - | NJ | |
| P S Y C H I A T R Y | NY | |
| - | NJ | |
| P S Y C H I A T R Y | NJ |
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