STEPHEN BALLEH – Emergency Medicine Physician, NPI 1174933766
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 EMERGENCY MEDICINE in NC
Provider Addresses for STEPHEN BALLEH
5 FRANKLIN CV
RUTHER GLEN, VA 225465333
Phone: (804) 306-1923
Type: Mailing
MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27157
Phone: (336) 716-4625
Type: Location
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 224014453
Phone: (804) 306-1923
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($31).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $31 |
| CSL Behring | $17 |
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: 2017-08-21
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 |
|---|---|---|---|---|
| I20170821001667 | I | Emergency Medicine | VA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 391 | 383 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 155 | 152 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 149 | 148 | $0 |
| 99291 | Critical care, first 30-74 minutes | 128 | 128 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 22546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| - | FL | |
| Emergency Medicine | VA | |
| Emergency Medicine | VA | |
| Emergency Medicine | TN | |
| Emergency Medicine | VA | |
| Emergency Medicine | MS | |
| Emergency Medicine | OH | |
| Nurse Practitioner | VA | |
| Emergency Medicine | VA |
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