CORBIN BALLAM DO
NPI 1205282894
Internal Medicine in Tucson, AZ

Q: What is Corbin Ballam's NPI number?

The NPI number for Corbin Ballam is 1205282894. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Q: What is Corbin Ballam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Corbin Ballam was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment

89.28/100

CMS Quality Rating

2940 S 6TH AVE, TUCSON, AZ 85713(520) 613-1001(520) 504-6483 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2025, Jan 27, 2021, Sep 18, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Corbin Ballam Do NPPES

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

CORBIN BALLAM DO (NPI 1205282894) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (007767) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205282894

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCORBIN BALLAMCredential: DO

Location Address2940 S 6TH AVETucson, AZ 85713-4705

Mailing Address102 Woodmont Blvd Ste 600Nashville, TN 37205-5250 · (888) 987-1151

Phone(520) 613-1001

Fax(520) 504-6483

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 12, 2016

Last NPPES UpdateFebruary 26, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1205282894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 007767

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.

2940 S 6TH AVE, Tucson, AZ 85713

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Secondary Practice Location 1

Location 14834 E Broadway BlvdTucson, AZ 85711-3610 · Phone (520) 549-5885 ext. 0 · Fax (520) 549-6098

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

Corbin Ballam 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 ID6709119662

PECOS Enrollment IDI20190607000395

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

Medicare enrollment records show Corbin Ballam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Clinic PLLC

5.2 mi

Family Medicine

4834 E BROADWAY BLVD
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
4 clinicians in this Medicare group

NPI 1053188771 (206) 551-0154

Marana Health Center Inc

7.1 mi

Federally Qualified Health Center (FQHC)

899 N WILMOT RD STE E
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
169 clinicians in this Medicare group

NPI 1396512034 (520) 290-1100

Northwest Allied Physicians LLC

9.1 mi

General Practice

6060 N FOUNTAIN PLAZA DR STE 270
Tucson, AZ 85704

Reassigned Medicare billing, Arizona enrollment
296 clinicians in this Medicare group

NPI 1003833179 (520) 229-2578

Summit Medical Group Arizona LLC

121 mi

Family Medicine

5620 W THUNDERBIRD RD STE F1
Glendale, AZ 85306

Reassigned Medicare billing, Arizona enrollment
251 clinicians in this Medicare group

NPI 1053810622 (844) 969-0686

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 11

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 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.

1,498 services697 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

425 services51 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

370 services370 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

129 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

92 services92 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

85 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

89.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.56

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers29 claims85 services$5.64 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers11 claims61 services$1.65 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers20 claims20 services$71.60 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$44.33 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers26 claims26 services$192.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

SONIA BERTRAM FNP-C

Nurse Practitioner (Family)