DR. GERARD A. BALLANCO JR. M.D.
NPI 1053330779
Radiology - Diagnostic Radiology in Opelousas, LA

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
539 E PRUDHOMME ST, OPELOUSAS, LA 70570(337) 942-6883(337) 942-6830 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerard A. Ballanco Jr. M.d. NPPES

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

DR. GERARD A. BALLANCO JR. M.D. (NPI 1053330779) is an individual diagnostic radiology provider in Opelousas, Louisiana, licensed in Louisiana (025645) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2001).

NPPES Registry Identity

NPI1053330779
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GERARD A. BALLANCO JR.Credential: M.D.
Location Address539 E PRUDHOMME STOpelousas, LA 70570-6499
Mailing Address460 Judice RdSunset, LA 70584-5156 · (504) 352-6078
Fax(337) 942-6830
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2001
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
NPI 1053330779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in LA · 025645
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
539 E PRUDHOMME ST, Opelousas, LA 70570

Other Identifiers 2

Medicaid1043184LA
OtherP00390429LA · Railroad Retirement Medic

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

Dr. Gerard A. Ballanco Jr. 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 ID4183689441
PECOS Enrollment IDI20041129000264
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 46

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
474 services395 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
331 services331 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
328 services328 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
111 services107 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
105 services104 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
76 services74 patients

Hospital Affiliations CMS Care Compare 5

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190034
Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County
Emergency services Birthing friendly

Iberia Medical Center

Acute Care Hospitals · New Iberia, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190054
Location2315 E Main StreetNew Iberia, LA 70562 · Iberia 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

Acadia St Landry

Critical Access Hospitals · Church Point, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191319
Location810 South Broadway StreetChurch Point, LA 70525 · Acadia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70570 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.61
Improvement Activities40

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.

Pharmacist
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
Nurse Practitioner (Family)
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
Physician Assistant
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
Nurse Anesthetist, Certified Registered
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
Nurse Practitioner
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
General Acute Care Hospital
539 E PRUDHOMME ST, 6TH FLOOR
OPELOUSAS, LA 70570
Rehabilitation Unit
539 E PRUDHOMME ST
OPELOUSAS, LA 70570
Nurse Practitioner
539 E PRUDHOMME ST
OPELOUSAS, LA 70570

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 Gerard Ballanco's NPI number?

The NPI number for Gerard Ballanco is 1053330779. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Gerard Ballanco located?

Gerard Ballanco practices at 539 E Prudhomme St, Opelousas, LA 70570. The listed phone number is (337) 942-6883.

What is Gerard Ballanco's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gerard Ballanco enrolled in Medicare?

Yes. Gerard Ballanco 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 Gerard Ballanco accept?

Health plans from HMO Louisiana and UnitedHealthcare list Gerard Ballanco 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 Gerard Ballanco affiliated with any hospitals?

According to CMS data, Gerard Ballanco is affiliated with Opelousas General Health System, Abbeville General Hospital, Iberia Medical Center, East Jefferson General Hospital and Acadia St Landry.

When was this NPI record last updated?

The NPPES record for Gerard Ballanco was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.