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DANIEL BALLANTINE DO
NPI 1063703130
Internal Medicine in West Reading, PA

Active since April 25, 2011PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
6TH AVE AND SPRUCE STREET, WEST READING, PA 19611(610) 988-5455 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Ballantine Do NPPES

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

DANIEL BALLANTINE DO (NPI 1063703130) is an individual internal medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (OT013969) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Howard County Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1063703130
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDANIEL BALLANTINECredential: DO
Location Address6TH AVE AND SPRUCE STREETWest Reading, PA 19611-1428
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Phone(610) 988-5455
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateApril 25, 2011
Last NPPES UpdateNovember 17, 2014
✔ NPI 1063703130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OT013969
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6TH AVE AND SPRUCE STREET, West Reading, PA 19611
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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

Daniel Ballantine Do 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 ID7810112489
PECOS Enrollment IDI20200326000084
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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
377 services369 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Other Providers at the Same Location NPPES 16

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

CAROL SZARKO MD
Anesthesiology
6TH AVE AND SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
WEST READING, PA 19611
Berks County (610) 988-8589
JAMES COYLE DO
Internal Medicine
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 988-5455
CARLY SMITH PA-C
Physician Assistant
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 568-3637
DR. DEBRA K HERMANY DO
Emergency Medicine
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (484) 628-5637
MRS. CINDY GAIL WILKINS-RHODES COTA/L
Occupational Therapy Assistant
6TH AVE AND SPRUCE STREET, READING HOSPITAL & MEDICAL CENTER
WEST READING, PA 19611
Berks County (610) 988-8000
DR. MATTHEW D GROVE MD
Emergency Medicine
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 988-9293
BENJAMIN LLOYD M.D.
Internal Medicine
6TH AVE AND SPRUCE STREET
WEST READING, PA 19611
Berks County (610) 988-8480
ILANA S PRICE MD
Pediatrics
6TH AVE AND SPRUCE STREET, RHPN PEDIATRIC HOSPITALIST
WEST READING, PA 19611
Berks County (484) 628-2501

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 Daniel Ballantine's NPI number?

The NPI number for Daniel Ballantine is 1063703130. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Daniel Ballantine located?

Daniel Ballantine practices at 6th Ave And Spruce Street, West Reading, PA 19611. The listed phone number is (610) 988-5455.

What is Daniel Ballantine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Ballantine enrolled in Medicare?

Yes. Daniel Ballantine 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.

Is Daniel Ballantine affiliated with any hospitals?

According to CMS data, Daniel Ballantine is affiliated with Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Ballantine was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.