DAVID J BALISON MD
NPI 1245307719
Radiology - Diagnostic Radiology in Green Bay, WI

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
2941 S RIDGE RD, GREEN BAY, WI 54304(920) 336-4096(920) 336-8093 Get Directions Write a Review

NPPES record last updated: May 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David J Balison Md NPPES

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

DAVID J BALISON MD (NPI 1245307719) is an individual diagnostic radiology provider in Green Bay, Wisconsin, licensed in Wisconsin (34482) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of University Of Utah School Of Medicine (1992).

NPPES Registry Identity

NPI1245307719
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID J BALISONCredential: MD
Location Address2941 S RIDGE RDGreen Bay, WI 54304-5517
Mailing Address2941 S Ridge RdGreen Bay, WI 54304-5517 · (920) 336-4096 · Fax (920) 336-8093
Fax(920) 336-8093
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1992
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 4, 2009
NPI 1245307719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 34482
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2941 S RIDGE RD, Green Bay, WI 54304

Other Identifiers 4

Medicare UPING33890WI
Medicaid32250800WI
Medicare PIN000260315WI
Medicare PIN001407201WI

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

David J Balison 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 ID1850290685
PECOS Enrollment IDI20031231000285
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 57

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,380 services14 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
381 services359 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
194 services194 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
193 services193 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
184 services178 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
135 services128 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%608 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%42 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%26 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304
Radiology (Diagnostic Radiology)
2941 S RIDGE RD
GREEN BAY, WI 54304

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 David Balison's NPI number?

The NPI number for David Balison is 1245307719. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is David Balison located?

David Balison practices at 2941 S Ridge Rd, Green Bay, WI 54304. The listed phone number is (920) 336-4096.

What is David Balison's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Balison enrolled in Medicare?

Yes. David Balison 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 David Balison accept?

Health plans from CareSource (Common Ground Healthcare) list David Balison 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.

Is David Balison affiliated with any hospitals?

According to CMS data, David Balison is affiliated with St Nicholas Hospital, St Vincent Hospital, St Mary's Hospital Medical Center, Southwest Health Center and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for David Balison was last updated on May 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.