FRED JACKSON BALLENGER (M.D.) – Nephrology Physician, NPI 1447258728

FRED JACKSON BALLENGER (M.D.) is a healthcare provider. based in Roanoke, Virginia. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. 0101027649 (VA). The NPI Number for FRED JACKSON BALLENGER (M.D.) is 1447258728

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
FRED JACKSON BALLENGER (M.D.)
NPI
1447258728
Phone
(540) 344-1400
Address
2602 FRANKLIN RD SW
Enumeration Date
12 July 2005
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5403441400
Graduation Year
1975 (51 years ago)
PAC ID
1052448800
Group Practice PAC ID
9739174640
Professional Enrollment ID
I20100427000510
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FRED JACKSON BALLENGER (M.D.)

  • 2602, Franklin Road Southwest, Beechwood Gardens, Roanoke, Roanoke (city), Virginia, 24014, United States

    ROANOKE, VA 240141010

    Phone: (540) 344-1400

    Fax: (540) 344-7133

    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 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($31).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-04-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100427000510INephrologyVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)30747$0
90962Dialysis services, 1 physician visit per month (20 years or older)10917$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)3526$0
90935Hemodialysis procedure with physician evaluation1711$0
View full utilization report →

Insurance plans in this area (ZIP 24014)

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Provider's Procedures

FRED JACKSON BALLENGER (M.D.) performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYVA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older30489

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739174640View full group profile
NameSpecialtyState
Nephrology, Internal MedicineVA
Nephrology, Internal MedicineVA
Nurse PractitionerVA
Nephrology, Internal MedicineVA
Cardiovascular Disease (Cardiology), Cardiac SurgeryVA
N E P H R O L O G YOH
Nurse PractitionerVA
Nurse PractitionerVA
Nephrology, Internal MedicineVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What number should I use to identify FRED JACKSON BALLENGER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1447258728 for FRED JACKSON BALLENGER (M.D.).
Quick check: is FRED JACKSON BALLENGER (M.D.) active?
Public NPPES data shows FRED JACKSON BALLENGER (M.D.) with an active NPI status right now.
How should patients interpret FRED JACKSON BALLENGER (M.D.)'s specialty?
The extract shows Nephrology Physician for FRED JACKSON BALLENGER (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to FRED JACKSON BALLENGER (M.D.)?
The directory associates FRED JACKSON BALLENGER (M.D.) with Roanoke, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains FRED JACKSON BALLENGER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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