ELLEN W BALLERENE (M.D.) – Psychiatry Physician, NPI 1174517924
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,244 PSYCHIATRY in OH
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Provider Addresses for ELLEN W BALLERENE (M.D.)
Edwin C. Moses Boulevard, Dayton, Montgomery County, Ohio, 45422, United States
SAMARITAN BEHAVIORAL HEALTH, ELIZABETH PLACE, 4TH FLOOR
DAYTON, OH 45417
Phone: (937) 276-8333
Fax: (937) 276-8339
Type: Mailing
601 Edwin C. Moses Blvd.
Dayton, OH 45417
Phone: (937) 734-8333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-11-12
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 |
|---|---|---|---|---|
| I20071112000145 | I | Psychiatry | OH | 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 | 85 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 19 | $0 |
Insurance plans in this area (ZIP 45417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Qualified Audiologist | OH | |
| - | OH | |
| Mental Health Counselor | OH | |
| General Surgery | OH |
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