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DR. DARRELL FITZGERALD BALLINGER DPM
NPI 1285952937
Podiatrist - Foot Surgery in Centerville, OH

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
6438 WILMINGTON PIKE STE 125, CENTERVILLE, OH 45459(937) 458-0085(937) 458-0212 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2024, Aug 1, 2024, Mar 8, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Darrell Fitzgerald Ballinger Dpm NPPES

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

DR. DARRELL FITZGERALD BALLINGER DPM (NPI 1285952937) is an individual foot surgery provider in Centerville, Ohio, licensed in Ohio (36.003657) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285952937
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. DARRELL FITZGERALD BALLINGERCredential: DPM
Location Address6438 WILMINGTON PIKE STE 125Centerville, OH 45459-7033
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1309 · Fax (937) 522-8940
Phone(937) 458-0085
Fax(937) 458-0212
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 5, 2010
Last NPPES UpdateNovember 14, 20245 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1285952937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in OH · 36.003657
Also ListedPodiatristTaxonomy 213E00000X · License 36.003657 (OH)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 36003657 (OH)
6438 WILMINGTON PIKE STE 125, Centerville, OH 45459
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Other Identifiers 1

Medicaid0083030OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Darrell Fitzgerald Ballinger Dpm 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 ID2668611971
PECOS Enrollment IDI20130618000323
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Darrell Ballinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kettering Independent Medical Group Inc
6.4 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Associates In Podiatry, Inc.
26 mi
Foot & Ankle Surgery
415 W HARDING RD
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1427114446 (937) 399-8011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
107 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
50 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services43 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.
43 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
30 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
5 suppliers14 claims210 services$7.10 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
6 suppliers24 claims342 services$9.05 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims830 services$0.11 avg. paid by Medicare
Tubular dressing with or without elastic, any width, per linear yard A6457
DME-Medical/Surgical Supplies · category DA023N
5 suppliers11 claims75 services$1.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Darrell Ballinger's NPI number?

The NPI number for Darrell Ballinger is 1285952937. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Darrell Ballinger located?

Darrell Ballinger practices at 6438 Wilmington Pike Ste 125, Centerville, OH 45459. The listed phone number is (937) 458-0085.

What is Darrell Ballinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Darrell Ballinger enrolled in Medicare?

Yes. Darrell Ballinger 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.

Which organizations bill Medicare for Darrell Ballinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darrell Ballinger reassigns Medicare benefits to 2 organizations: Kettering Independent Medical Group Inc (Miamisburg, OH) and Associates In Podiatry, Inc. (Springfield, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darrell Ballinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darrell Ballinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Darrell 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 Darrell Ballinger affiliated with any hospitals?

According to CMS data, Darrell Ballinger is affiliated with Kettering Health Main Campus, Kettering Health Dayton and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Darrell Ballinger was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.