DR. MATIAS BALLESTEROS MD
NPI 1033672712
Family Medicine in Pasadena, MD

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
3708 MOUNTAIN RD, PASADENA, MD 21122(410) 553-8273 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2022, Apr 10, 2019 (2 updates tracked since 2019).

About Dr. Matias Ballesteros Md NPPES

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

DR. MATIAS BALLESTEROS MD (NPI 1033672712) is an individual family medicine provider in Pasadena, Maryland, licensed in Maryland (D95030) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Batesville.

NPPES Registry Identity

NPI1033672712
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATIAS BALLESTEROSCredential: MD
Location Address3708 MOUNTAIN RDPasadena, MD 21122-2025
Mailing Address9166 Landon House LnFrederick, MD 21704-7763
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 10, 2019
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1033672712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D95030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3708 MOUNTAIN RD, Pasadena, MD 21122

Secondary Practice Location 1

Location 11993 Harrison StBatesville, AR 72501-7309 · Phone (870) 698-9992

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

Dr. Matias Ballesteros Md 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 ID648663997
PECOS Enrollment IDI20221006002931
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

5

Medicare enrollment records show Matias Ballesteros reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical
301 HOSPITAL DR
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • 966 clinicians in this Medicare group
Emergency Medicine
679 NORTH MAIN
Salem, AR 72576
  • Reassigned Medicare billing, Arkansas enrollment
  • 29 clinicians in this Medicare group
Emergency Medicine
778 SCOGIN DR
Monticello, AR 71655
  • Reassigned Medicare billing, Arkansas enrollment
  • 126 clinicians in this Medicare group
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • 152 clinicians in this Medicare group
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21122 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
3708 MOUNTAIN RD, STE D
PASADENA, MD 21122
Internal Medicine
3708 MOUNTAIN RD
PASADENA, MD 21122
Physical Therapist
3708 MOUNTAIN RD, STE D
PASADENA, MD 21122
Nurse Practitioner (Family)
3708 MOUNTAIN RD
PASADENA, MD 21122
Family Medicine
3708 MOUNTAIN RD
PASADENA, MD 21122
Internal Medicine
3708 MOUNTAIN RD
PASADENA, MD 21122
Internal Medicine
3708 MOUNTAIN RD
PASADENA, MD 21122
Family Medicine
3708 MOUNTAIN RD
PASADENA, MD 21122

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 Matias Ballesteros's NPI number?

The NPI number for Matias Ballesteros is 1033672712. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Matias Ballesteros located?

Matias Ballesteros practices at 3708 Mountain Rd, Pasadena, MD 21122. The listed phone number is (410) 553-8273.

What is Matias Ballesteros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matias Ballesteros enrolled in Medicare?

Yes. Matias Ballesteros 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 Matias Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matias Ballesteros reassigns Medicare benefits to 5 organizations: University Of Maryland Community Medical Group, Inc. (Glen Burnie, MD), Fulton County Hospital (Salem, AR), Monticello Ess LLC (Monticello, AR), Ess Hospitalist LLC (Crossett, AR) and Arkansas Emergency Staffing Solutions, Inc (Hope, AR). 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 Matias Ballesteros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Matias Ballesteros affiliated with any hospitals?

According to CMS data, Matias Ballesteros is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Matias Ballesteros was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.