MATTHEW T. BALLO M.D.
NPI 1013017094
Radiology - Radiation Oncology in Memphis, TN

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
87.86/100
CMS Quality Rating
100 N HUMPHREYS BLVD, MEMPHIS, TN 38120(901) 683-0055(901) 685-2969 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew T. Ballo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW T. BALLO M.D. (NPI 1013017094) is an individual radiation oncology provider in Memphis, Tennessee, licensed in Ohio (35071913B) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013017094
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameMATTHEW T. BALLOCredential: M.D.
Location Address100 N HUMPHREYS BLVDMemphis, TN 38120-2146
Mailing Address100 N Humphreys BlvdMemphis, TN 38120-2146 · (901) 683-0055 · Fax (901) 685-2969
Fax(901) 685-2969
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 22, 2006
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1013017094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in OH · 35071913B✔ Licensed in TX · L0014✔ Licensed in TN · 50791
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
100 N HUMPHREYS BLVD, Memphis, TN 38120

Other Identifiers 1

Medicaid45529701TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew T. Ballo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901993278
PECOS Enrollment IDI20250210002764
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Ballo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1740 CLEVELAND RD
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 837 clinicians in this Medicare group
Family Medicine
36040 DETROIT RD, STE A
Avon, OH 44011
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
935 services196 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
643 services30 patients
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012
Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.
393 services22 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
326 services40 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
220 services80 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
219 services68 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.3
Promoting Interoperability100
Improvement Activities40
Cost75.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Pharmacist
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Clinic/Center (Physical Therapy)
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Occupational Therapist
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Genetic Counselor, MS
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Occupational Therapist
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Occupational Therapist
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120
Specialist
100 N HUMPHREYS BLVD
MEMPHIS, TN 38120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Ballo's NPI number?

The NPI number for Matthew Ballo is 1013017094. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Matthew Ballo located?

Matthew Ballo practices at 100 N Humphreys Blvd, Memphis, TN 38120. The listed phone number is (901) 683-0055.

What is Matthew Ballo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Matthew Ballo enrolled in Medicare?

Yes. Matthew Ballo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Ballo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Ballo reassigns Medicare benefits to 2 organizations: Wooster Clinic, LLC (Wooster, OH) and The Cleveland Clinic Foundation (Avon, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Ballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Ballo accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Matthew Ballo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Matthew Ballo affiliated with any hospitals?

According to CMS data, Matthew Ballo is affiliated with Mercy Medical Center, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Ballo was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.