DAVID J BALISON MD
NPI 1245307719
Radiology - Diagnostic Radiology in Green Bay, WI
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
Specialties & Licenses
Other Identifiers 4
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.
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.
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, WISt Vincent Hospital
Acute Care Hospitals · Green Bay, WISt Mary's Hospital Medical Center
Acute Care Hospitals · Green Bay, WISouthwest Health Center
Critical Access Hospitals · Platteville, WIDoor County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIPhysician 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.
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
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.
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.