CORBIN BALLAM DO
NPI 1205282894
Internal Medicine in Tucson, AZ

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: July 19, 2026.

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

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
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

Secondary Practice Location 1

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

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

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.

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
Quality78.56
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
2940 S 6TH AVE
TUCSON, AZ 85713
Preventive Medicine (Public Health & General Preventive Medicine)
2940 S 6TH AVE
TUCSON, AZ 85713
Nurse Practitioner (Family)
2940 S 6TH AVE
TUCSON, AZ 85713
Nurse Practitioner (Family)
2940 S 6TH AVE
TUCSON, AZ 85713
Nurse Practitioner (Family)
2940 S 6TH AVE
TUCSON, AZ 85713
Internal Medicine
2940 S 6TH AVE
TUCSON, AZ 85713
Nurse Practitioner (Family)
2940 S 6TH AVE
TUCSON, AZ 85713

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 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.

Where is Corbin Ballam located?

Corbin Ballam practices at 2940 S 6th Ave, Tucson, AZ 85713. The listed phone number is (520) 613-1001.

What is Corbin Ballam's specialty?

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

Is Corbin Ballam enrolled in Medicare?

Yes. Corbin Ballam 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 Corbin Ballam accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Corbin Ballam 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 Corbin Ballam was last updated on February 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.