BRUCE J BALLON (M.D.) – Ophthalmology Physician, NPI 1619066123
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
467 OPHTHALMOLOGY in WA
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Provider Addresses for BRUCE J BALLON (M.D.)
903, Medical Center Drive, Arlington, Snohomish County, Washington, 98223, United States
ARLINGTON, WA 982231697
Phone: (360) 435-8595
Fax: (360) 435-5233
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 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $13 |
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: 2010-09-25
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20100925000197 | I | Ophthalmology | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 224 | 204 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 191 | 136 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 123 | 82 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 115 | 69 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 98223)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | WA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 83 | 66 |
| OPHTHALMOLOGY | WA | 92083 | Measurement of field of vision during daylight conditions | 44 | 42 |
| OPHTHALMOLOGY | WA | 92134 | Diagnostic imaging of retina | 69 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA | |
| - | WA | |
| - | OR | |
| O P H T H A L M O L O G Y | CA | |
| - | OR | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | OR | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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