DR. GERARD A. BALLANCO JR. M.D.
NPI 1053330779
Radiology - Diagnostic Radiology in Opelousas, LA
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
Specialties & Licenses
Other Identifiers 2
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.
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.
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, LAAbbeville General Hospital
Acute Care Hospitals · Abbeville, LAIberia Medical Center
Acute Care Hospitals · New Iberia, LAEast Jefferson General Hospital
Acute Care Hospitals · Metairie, LAAcadia St Landry
Critical Access Hospitals · Church Point, LAPhysician 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.
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.
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.
OPELOUSAS, LA 70570
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.