JACOB SETH BALLON MD
NPI 1083835474
Psychiatry & Neurology - Psychiatry in Palo Alto, CA

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, PALO ALTO, CA 94304(650) 723-4000(650) 498-5840 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacob Seth Ballon Md NPPES

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

JACOB SETH BALLON MD (NPI 1083835474) is an individual psychiatry provider in Palo Alto, California, licensed in California (A96636) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2005).

NPPES Registry Identity

NPI1083835474
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJACOB SETH BALLONCredential: MD
Location Address300 PASTEUR DRPalo Alto, CA 94304-2203
Mailing Address300 Pasteur Dr Ste 100Palo Alto, CA 94304-2203 · (650) 723-4000 · Fax (650) 498-5840
Fax(650) 498-5840
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2005
Enumeration DateMay 1, 2007
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
NPI 1083835474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · A96636 Licensed in NY · 253556
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 PASTEUR DR, Palo Alto, CA 94304

Other Identifiers 1

Medicaid00A966360CA

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

Jacob Seth Ballon 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 ID7416041637
PECOS Enrollment IDI20070919000485
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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
142 services24 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.
135 services22 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
38 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Nurse Practitioner
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychosomatic Medicine)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychologist (Clinical)
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304
Colon & Rectal Surgery
300 PASTEUR DR
PALO ALTO, CA 94304
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
PALO ALTO, CA 94304

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 Jacob Ballon's NPI number?

The NPI number for Jacob Ballon is 1083835474. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Jacob Ballon located?

Jacob Ballon practices at 300 Pasteur Dr, Palo Alto, CA 94304. The listed phone number is (650) 723-4000.

What is Jacob Ballon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jacob Ballon enrolled in Medicare?

Yes. Jacob Ballon 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.

When was this NPI record last updated?

The NPPES record for Jacob Ballon was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.