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DOUGLAS A BALLESTEROS MD
NPI 1275572372
Emergency Medicine in National City, CA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
2400 E 4TH ST, EMERGENCY DEPARTMENT, NATIONAL CITY, CA 91950(619) 470-4321 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2019, Sep 14, 2018 (2 updates tracked since 2018).

About Douglas A Ballesteros Md NPPES

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

DOUGLAS A BALLESTEROS MD (NPI 1275572372) is an individual emergency medicine provider in National City, California, licensed in California (A74965) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of University Of Southern California Keck School Of Medicine (1999).

NPPES Registry Identity

NPI1275572372
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS A BALLESTEROSCredential: MD
Location Address2400 E 4TH ST, EMERGENCY DEPARTMENTNational City, CA 91950-2026
Mailing Address1700 E Walnut Ave, Suite 250El Segundo, CA 90245-2605 · (310) 301-2030 · Fax (310) 306-5247
Phone(619) 470-4321
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1999
Enumeration DateJune 5, 2006
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
✔ NPI 1275572372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A74965
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2400 E 4TH ST, National City, CA 91950
Open in Google Maps ↗

Secondary Practice Location 1

Location 18910 Villa La Jolla Dr Ste 100LA Jolla, CA 92037-1701 · Phone (800) 926-8273

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

Douglas A Ballesteros 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 ID6305882523
PECOS Enrollment IDI20050628001098
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
231 services228 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
202 services197 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
98 services94 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
34 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91950 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Improvement Activities40

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.

ALLISON KORNBLATT M.D.
Emergency Medicine
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (917) 699-6856
ANTHONY DICARLO RN
Registered Nurse
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
MARIA G. PASCUA MS CCC-SLP
Speech-Language Pathologist
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 472-4577
ANTHONY R. FERKICH M.D.
Emergency Medicine
2400 E 4TH ST, EMERGENCY DEPARTMENT
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
EVELYN R. BLAZADO, M.D., INC.
Pathology (Anatomic Pathology & Clinical Pathology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
COLLEEN MARIE STALLMER CRNA
Nurse Anesthetist, Certified Registered
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321
DOROTHY E. HAIRSTON M.D.
Hospitalist
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 472-4690
IMAGING MEDICAL ASSOCIATES, OF SAN DIEGO, INC.
Radiology (Diagnostic Radiology)
2400 E 4TH ST
NATIONAL CITY, CA 91950
San Diego County (619) 470-4321

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 Douglas Ballesteros's NPI number?

The NPI number for Douglas Ballesteros is 1275572372. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Douglas Ballesteros located?

Douglas Ballesteros practices at 2400 E 4th St Emergency Department, National City, CA 91950. The listed phone number is (619) 470-4321.

What is Douglas Ballesteros's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Ballesteros enrolled in Medicare?

Yes. Douglas Ballesteros 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.

When was this NPI record last updated?

The NPPES record for Douglas Ballesteros was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.