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DR. KEITH MARTIN BALLIN O.D
NPI 1295882314
Optometrist in Monterey, CA

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
68.33/100
CMS Quality Rating
2 UPPER RAGSDALE DR STE B130, MONTEREY, CA 93940(831) 647-3900(831) 771-3966 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith Martin Ballin O.d NPPES

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

DR. KEITH MARTIN BALLIN O.D (NPI 1295882314) is an individual optometrist in Monterey, California, licensed in California (10949) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1295882314
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEITH MARTIN BALLINCredential: O.D
Location Address2 UPPER RAGSDALE DR STE B130Monterey, CA 93940-7842
Mailing Address63 S Rockford Dr Ste 220Tempe, AZ 85288-6226 · (831) 717-3900 · Fax (831) 424-7835
Phone(831) 647-3900
Fax(831) 771-3966
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 18, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1295882314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 10949
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2 UPPER RAGSDALE DR STE B130, Monterey, CA 93940
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Secondary Practice Locations 2

Location 1622 Abbott StSalinas, CA 93901-4315 · Phone (831) 771-3900 · Fax (831) 424-7835
Location 2966 Cass St Ste 100Monterey, CA 93940-4540 · Phone (831) 373-7733 · Fax (831) 771-3966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Dr. Keith Martin Ballin O.d 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 ID6305815333
PECOS Enrollment IDI20040927001191
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 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.
149 services149 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.
125 services124 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.
29 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

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.

68.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.89
Promoting Interoperability83
Improvement Activities40
Cost20.33

Other Providers at the Same Location NPPES

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

DR. MEHRAK KHADAVI FARAHMAND OD
Optometrist
2 UPPER RAGSDALE DR STE B130
MONTEREY, CA 93940
Monterey County (831) 647-3900

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 Keith Ballin's NPI number?

The NPI number for Keith Ballin is 1295882314. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Keith Ballin located?

Keith Ballin practices at 2 Upper Ragsdale Dr Ste B130, Monterey, CA 93940. The listed phone number is (831) 647-3900.

What is Keith Ballin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Keith Ballin enrolled in Medicare?

Yes. Keith Ballin 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 Keith Ballin accept?

Health plans from Providence Health Plan list Keith Ballin 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.

When was this NPI record last updated?

The NPPES record for Keith Ballin was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.