COLE BALLINGER PA-C
NPI 1275224388
Physician Assistant in Portland, OR

Active since May 18, 2023PECOS Enrolled
5050 NE HOYT ST STE 626, PORTLAND, OR 97213(503) 231-1426 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Jun 15, 2023, May 18, 2023 (3 updates tracked since 2023).

About Cole Ballinger Pa-c NPPES

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

COLE BALLINGER PA-C (NPI 1275224388) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA221482) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275224388
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOLE BALLINGERCredential: PA-C
Location Address5050 NE HOYT ST STE 626Portland, OR 97213-2956
Mailing Address5050 Ne Hoyt St Ste 626Portland, OR 97213-2956 · (503) 231-1426
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 18, 2023
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1275224388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA221482
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA16887 (TX)
5050 NE HOYT ST STE 626, Portland, OR 97213

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 (PECOS)

Cole Ballinger Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577922079
PECOS Enrollment IDI20250228000297
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 8

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
45 services23 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
23 services16 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
22 services22 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
18 services11 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
17 services17 patients
Fusion of spine bones through front of body with partial removal of disc, each additional disc 22585
This procedure involves merging spine bones via the front of the body. A portion of each additional disc is removed to ease pressure and discomfort. This helps to stabilize the spine and improve mobility.
17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Orthopaedic Surgery (Foot and Ankle Surgery)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Specialist/Technologist (Athletic Trainer)
5050 NE HOYT ST STE 626
PORTLAND, OR 97213
Clinic/Center
5050 NE HOYT ST STE 626
PORTLAND, OR 97213

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 Cole Ballinger's NPI number?

The NPI number for Cole Ballinger is 1275224388. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Cole Ballinger located?

Cole Ballinger practices at 5050 NE Hoyt St Ste 626, Portland, OR 97213. The listed phone number is (503) 231-1426.

What is Cole Ballinger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cole Ballinger enrolled in Medicare?

Yes. Cole Ballinger is registered in the Medicare PECOS enrollment system.

What insurance does Cole Ballinger accept?

Health plans from BridgeSpan Health Company, Imperial Insurance Companies, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cole Ballinger 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 Cole Ballinger affiliated with any hospitals?

According to CMS data, Cole Ballinger is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Cole Ballinger was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.