DAVID J BALISON (MD) – Diagnostic Radiology Physician, NPI 1245307719

DAVID J BALISON (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 34482 (WI). The NPI Number for DAVID J BALISON (MD) is 1245307719

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J BALISON (MD)
NPI
1245307719
Phone
(920) 336-4096
Address
2941 S RIDGE RD
Enumeration Date
29 November 2006
Last Update Date
4 May 2009

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
9207170800
Graduation Year
1992 (34 years ago)
PAC ID
1850290685
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20031231000285
Address ID
WI542209341MA4810XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,101 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DAVID J BALISON (MD)

  • South Ridge Road, Lombardi, Green Bay, Brown County, Wisconsin, 54304, United States

    GREEN BAY, WI 543045517

    Phone: (920) 336-4096

    Fax: (920) 336-8093

    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: 2024-09-03 • Largest payer in this snapshot: Endomagnetics Ltd ($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

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Endomagnetics Ltd$13
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: 2024-12-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031231000285IDiagnostic RadiologyWITBD
I20241230003326IDiagnostic RadiologyNVTBD

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
71045X-ray of chest, 1 view582537$0
74177Ct scan of abdomen and pelvis with contrast222218$0
71046X-ray of chest, 2 views222202$0
77067Screening mammography204204$0
77063Screening 3d breast mammography201201$0
View full utilization report →

Insurance plans in this area (ZIP 54304)

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Provider's Procedures

DAVID J BALISON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71010X-ray of chest, 1 view, front534489
DIAGNOSTIC RADIOLOGYWI71250CT scan chest6262
DIAGNOSTIC RADIOLOGYWI73110X-ray of wrist, minimum of 3 views1817
DIAGNOSTIC RADIOLOGYWI73562X-ray of knee, 3 views2929
DIAGNOSTIC RADIOLOGYWI73630X-ray of foot, minimum of 3 views1515
DIAGNOSTIC RADIOLOGYWI74177CT scan of abdomen and pelvis with contrast130129

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: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI

Reviews

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Frequently asked questions

What number should I use to identify DAVID J BALISON (MD) for billing?
Administrative and clinical systems typically use NPI 1245307719 for DAVID J BALISON (MD).
Is DAVID J BALISON (MD) currently accepting referrals based on NPI status?
Registry metadata lists DAVID J BALISON (MD) as active.
What type of care does DAVID J BALISON (MD) provide?
DAVID J BALISON (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAVID J BALISON (MD)?
DAVID J BALISON (MD) is associated with Green Bay, Wisconsin in the same public data insurers reference.
Why is information missing for DAVID J BALISON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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