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DR. PHILLIP SCOTT BALLINGER M.D.
NPI 1174571749
Otolaryngology in Conway, AR

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
525 WESTERN AVE STE 302A, CONWAY, AR 72034(501) 205-8095(501) 205-8533 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Sep 2, 2022, Mar 14, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Phillip Scott Ballinger M.d. NPPES

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

DR. PHILLIP SCOTT BALLINGER M.D. (NPI 1174571749) is an individual otolaryngology provider in Conway, Arkansas, licensed in Arkansas (E2157) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1993).

NPPES Registry Identity

NPI1174571749
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PHILLIP SCOTT BALLINGERCredential: M.D.
Location Address525 WESTERN AVE STE 302AConway, AR 72034-4981
Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364
Phone(501) 205-8095
Fax(501) 205-8533
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1993
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1174571749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in AR · E2157✔ Licensed in NE · 34925✔ Licensed in AL · MD.34694
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.
525 WESTERN AVE STE 302A, Conway, AR 72034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip Scott Ballinger 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 ID9234154121
PECOS Enrollment IDI20051010000930
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Phillip Ballinger reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conway Regional Medical Center Inc
Same address
Otolaryngology
525 WESTERN AVE STE 302A
Conway, AR 72034
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
NPI 1184454399 (501) 205-8095
Dardanelle Regional, LLC
41 mi
Critical Access
200 N 3RD ST
Dardanelle, AR 72834
NPI 1184629594 (479) 229-4677
Ent Associates Of Alabama PA
408 mi
Otolaryngology
1773 PLATT PL
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1558449991 (334) 272-8644
Community Hospital Association
570 mi
Emergency Medicine
1301 E H ST
Mc Cook, NE 69001
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1841204500 (Nebraska)
  • 57 clinicians in this Medicare group
NPI 1588771158 (308) 344-2650
Cheyenne County Hospital Association, Inc.
706 mi
Clinic/Center
610 GLOVER RD STE 3
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • 70 clinicians in this Medicare group
NPI 1538858238 (308) 254-5825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
29 services24 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
22 services20 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.
22 services22 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.
18 services14 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 2

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

CONWAY REGIONAL MEDICAL CENTER INC
Otolaryngology
525 WESTERN AVE STE 302A
CONWAY, AR 72034
Faulkner County (501) 205-8095
LILLIAN JONES AUD
Audiologist
525 WESTERN AVE STE 302A
CONWAY, AR 72034
Faulkner County (501) 205-8095

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 Phillip Ballinger's NPI number?

The NPI number for Phillip Ballinger is 1174571749. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Phillip Ballinger located?

Phillip Ballinger practices at 525 Western Ave Ste 302A, Conway, AR 72034. The listed phone number is (501) 205-8095.

What is Phillip Ballinger's specialty?

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

Is Phillip Ballinger enrolled in Medicare?

Yes. Phillip Ballinger 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.

Which organizations bill Medicare for Phillip Ballinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Ballinger reassigns Medicare benefits to 5 organizations: Conway Regional Medical Center Inc (Conway, AR), Dardanelle Regional, LLC (Dardanelle, AR), Ent Associates Of Alabama PA (Montgomery, AL), Community Hospital Association (Mc Cook, NE) and Cheyenne County Hospital Association, Inc. (Sidney, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Ballinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Ballinger accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Phillip Ballinger 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.

When was this NPI record last updated?

The NPPES record for Phillip Ballinger was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.