JAY BALLEN (MD) – Diagnostic Radiology Physician, NPI 1285649624
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,805 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for JAY BALLEN (MD)
1563, East Dorothy Lane, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States
SUITE 101
KETTERING, OH 454293897
Phone: (937) 296-0253
Fax: (937) 293-3183
Type: Mailing
Good Samaritan Hospital, 2222, Philadelphia Drive, Upper Dayton View, Dayton, Montgomery County, Ohio, 45406, United States
DAYTON, OH 454061813
Phone: (937) 276-7623
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.
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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: 2006-12-13
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 |
|---|---|---|---|---|
| I20061213000080 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 458 | 447 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 281 | 275 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 241 | 236 | $0 |
| 70450 | Ct scan head or brain without contrast | 216 | 214 | $0 |
| 71250 | Ct scan of chest without contrast | 178 | 178 | $0 |
Insurance plans in this area (ZIP 45429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 71250 | CT scan chest | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | OH | 73110 | X-ray of wrist, minimum of 3 views | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | OH | 74177 | CT scan of abdomen and pelvis with contrast | 27 | 26 |
| DIAGNOSTIC RADIOLOGY | OH | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 81 | 76 |
| DIAGNOSTIC RADIOLOGY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 71 | 70 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WV | |
| Physician Assistant | WV | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | PA | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology | WV | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC |
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