DR. DANIEL JOSEPH BALLOW (M.D.) – Urology Physician, NPI 1811280373
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
861 UROLOGY in TX
Provider Addresses for DR. DANIEL JOSEPH BALLOW (M.D.)
910 E Houston St Ste 600
Tyler, TX 757028304
Phone: (903) 606-2644
Type: Location
2001 N Jefferson Ave Ste 210
Mount Pleasant, TX 754552390
Phone: (903) 434-7111
Fax: (903) 577-6245
Type: Location
1717 N E ST
SUITE 430
PENSACOLA, FL 325016339
Phone: (850) 437-8711
Type: Mailing
1717 N E ST STE 430
PENSACOLA, FL 325016345
Phone: (850) 437-8711
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $507.
Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($123).
Total Amount
$507
General + Research + Ownership
Payments
25
Total payment records
General Amount
$507
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $123 |
| Sumitomo Pharma America, Inc. | $79 |
| Antares Pharma, Inc. | $75 |
| Boston Scientific Corporation | $63 |
| TOLMAR, INC. | $40 |
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: 2025-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221128002139 | I | Urology | TX | TBD |
| I20250520002712 | I | Urology | GA | 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 |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 53 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 36 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 21 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 75702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Internal Medicine, Critical Care (Intensivists), Infectious Disease | IN | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Pulmonary Disease, Internal Medicine | FL |
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