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BALLANTINES FABRIZIO ALEGRE DO
NPI 1255847216
Family Medicine in Erie, PA

Active since December 28, 2017PECOS EnrolledAccepts Medicare Assignment
5515 PEACH ST, ERIE, PA 16509(540) 645-7114(540) 645-7114 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ballantines Fabrizio Alegre Do NPPES

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

BALLANTINES FABRIZIO ALEGRE DO (NPI 1255847216) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OT018185) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255847216
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBALLANTINES FABRIZIO ALEGRECredential: DO
Location Address5515 PEACH STErie, PA 16509-2603
Mailing Address5515 Peach StErie, PA 16509-2603 · (540) 645-7114
Phone(540) 645-7114
Fax(540) 645-7114
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 28, 2017
✔ NPI 1255847216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT018185
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5515 PEACH ST, Erie, PA 16509
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance, UnitedHealthcare.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

Ballantines Fabrizio Alegre 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 ID2860753415
PECOS Enrollment IDI20201002002103
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 4

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.
237 services113 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services31 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.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers16 claims19 services$6.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims12 services$13.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims12 services$63.55 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 20

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

EDEN KIMIAGAROV DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8217
NATALIE A KUJAN LDN
Dietitian, Registered
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DR. GARRETT P JAGEMAN PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ERIN CARLSON PHARMD
Pharmacist
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 868-8267
NICHOLAS PAUL PANICO DO
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
DALTON WADE SUMMERHILL
Student in an Organized Health Care Education/Training Program
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
ALYSE CHRISTINE HAGGERTY RN
Registered Nurse (Psychiatric/Mental Health, Adult)
5515 PEACH ST
ERIE, PA 16509
Erie County (814) 864-4031
JOSEPH AARON HOLMES D.O.
Psychiatry & Neurology (Psychiatry)
5515 PEACH ST
ERIE, PA 16509
Erie County (181) 486-8820

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 Ballantines Alegre's NPI number?

The NPI number for Ballantines Alegre is 1255847216. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Ballantines Alegre located?

Ballantines Alegre practices at 5515 Peach St, Erie, PA 16509. The listed phone number is (540) 645-7114.

What is Ballantines Alegre's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ballantines Alegre enrolled in Medicare?

Yes. Ballantines Alegre 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 Ballantines Alegre accept?

Health plans from CareSource, Oscar Health Insurance and UnitedHealthcare list Ballantines Alegre 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 Ballantines Alegre affiliated with any hospitals?

According to CMS data, Ballantines Alegre is affiliated with Mount Carmel East & West and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Ballantines Alegre was last updated on December 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.