DR. JASON JASPER BALLEW MD
NPI 1235146036
Preventive Medicine - Addiction Medicine in Tahlequah, OK

Active since August 02, 2006PECOS Enrolled
1400 E DOWNING ST, TAHLEQUAH, OK 74464(918) 456-0641 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2026, Jun 23, 2021, Jul 17, 2019 (3 updates tracked since 2019).

About Dr. Jason Jasper Ballew Md NPPES

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

DR. JASON JASPER BALLEW MD (NPI 1235146036) is an individual addiction medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (25130) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235146036
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NameDR. JASON JASPER BALLEWCredential: MD
Location Address1400 E DOWNING STTahlequah, OK 74464-3324
Mailing Address3829 S Madison AveTulsa, OK 74105-3062 · (918) 316-4330
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 27, 20263 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1235146036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OK · 25130
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25130 (OK)
1400 E DOWNING ST, Tahlequah, OK 74464

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Jasper Ballew Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

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

General Acute Care Hospital
1400 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 159 clinicians in this Medicare group
Family Medicine
1400 E DOWNING ST
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 42 clinicians in this Medicare group
General Acute Care Hospital
200 WEST HOSPITAL DRIVE
Whiteriver, AZ 85941
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

General Acute Care Hospital
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Hospitalist
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Physician Assistant (Medical)
1400 E DOWNING ST
TAHLEQUAH, OK 74464
General Practice
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Nurse Anesthetist, Certified Registered
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Internal Medicine
1400 E DOWNING ST
TAHLEQUAH, OK 74464
Pharmacist
1400 E DOWNING ST
TAHLEQUAH, OK 74464

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 Jason Ballew's NPI number?

The NPI number for Jason Ballew is 1235146036. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jason Ballew located?

Jason Ballew practices at 1400 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 456-0641.

What is Jason Ballew's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Jason Ballew enrolled in Medicare?

Yes. Jason Ballew is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Ballew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ballew reassigns Medicare benefits to 4 organizations: Northeastern Health System (Tahlequah, OK), Tahlequah Medical Group LLC (Tahlequah, OK), Dhhs Ihs Phoenix Area (Whiteriver, AZ) and Tuba City Regional Health Care Corporation (Kykotsmovi, AZ). 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 Jason Ballew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Ballew accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Jason Ballew 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 Jason Ballew was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.