CHARLES JOSEPH BALLAY II M.D.
NPI 1043306392
Otolaryngology in Marrero, LA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1111 MEDICAL CENTER BLVD, SUITE 707N, MARRERO, LA 70072(504) 934-8550(504) 934-8549 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Joseph Ballay Ii M.d. NPPES

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

CHARLES JOSEPH BALLAY II M.D. (NPI 1043306392) is an individual otolaryngology provider in Marrero, Louisiana, licensed in Louisiana (205801) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2001).

NPPES Registry Identity

NPI1043306392
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameCHARLES JOSEPH BALLAY IICredential: M.D.
Location Address1111 MEDICAL CENTER BLVD, SUITE 707NMarrero, LA 70072-3148
Mailing Address1111 Medical Center Blvd, Suite 707 NMarrero, LA 70072-3148 · (504) 934-8550 · Fax (504) 934-8549
Fax(504) 934-8549
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2001
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
NPI 1043306392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in LA · 205801 Licensed in TX · M6514
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedSpecialistTaxonomy 174400000X · License A94147 (CA)
1111 MEDICAL CENTER BLVD, Marrero, LA 70072

Other Identifiers 1

Medicaid2351753LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Joseph Ballay Ii 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 ID9830282268
PECOS Enrollment IDI20140315000269
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.

Areas of Expertise CMS Part B claims 9

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 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.
152 services109 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.
84 services66 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
34 services31 patients
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.
27 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims14 services$23.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
1111 MEDICAL CENTER BLVD, SUITE 250 SOUTH
MARRERO, LA 70072
Nurse Practitioner (Family)
1111 MEDICAL CENTER BLVD, SUITE 613N
MARRERO, LA 70072
Ophthalmology
1111 MEDICAL CENTER BLVD, SUITE N-213
MARRERO, LA 70072
Family Medicine
1111 MEDICAL CENTER BLVD, STE 304 NORTH
MARRERO, LA 70072
Internal Medicine
1111 MEDICAL CENTER BLVD, SUITE S850
MARRERO, LA 70072
Physician Assistant (Medical)
1111 MEDICAL CENTER BLVD, SUITE S-450
MARRERO, LA 70072
Nurse Practitioner
1111 MEDICAL CENTER BLVD
MARRERO, LA 70072
Specialist
1111 MEDICAL CENTER BLVD, SUITE 350S
MARRERO, LA 70072

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 Charles Ballay's NPI number?

The NPI number for Charles Ballay is 1043306392. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Charles Ballay located?

Charles Ballay practices at 1111 Medical Center Blvd Suite 707N, Marrero, LA 70072. The listed phone number is (504) 934-8550.

What is Charles Ballay's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Charles Ballay enrolled in Medicare?

Yes. Charles Ballay 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.

What insurance does Charles Ballay accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Charles Ballay 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 Charles Ballay affiliated with any hospitals?

According to CMS data, Charles Ballay is affiliated with Ochsner Medical Center Acute, West Jefferson Medical Center, Touro Infirmary and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Charles Ballay was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.