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PAULA BALLARIN M.D.
NPI 1306801055
Obstetrics & Gynecology in Erie, PA

Active since April 18, 2006PECOS Enrolled
5401 PEACH ST, SUITE 3100, ERIE, PA 16509(814) 868-7830(814) 868-2138 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2017, Jan 4, 2017, Dec 1, 2015 (3 updates tracked since 2015).

About Paula Ballarin M.d. NPPES

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

PAULA BALLARIN M.D. (NPI 1306801055) is an individual obstetrics & gynecology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD032703E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306801055
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePAULA BALLARINCredential: M.D.
Location Address5401 PEACH ST, SUITE 3100Erie, PA 16509-2601
Mailing Address1 Lecom PlErie, PA 16505-2571 · Fax (814) 868-2522
Phone(814) 868-7830
Fax(814) 868-2138
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 7, 20173 updates tracked since enumeration
✔ NPI 1306801055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD032703E
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5401 PEACH ST, Erie, PA 16509
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Other Identifiers 4

Medicaid0010532410007PA
Medicaid0010532410006PA
Medicare PIN464834PA
Medicaid0010532410008PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula Ballarin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%44 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

JOSHUA ALAN TUCK DO
Orthopaedic Surgery (Sports Medicine)
5401 PEACH ST, SUITE 3300
ERIE, PA 16509
Erie County (814) 868-7840
ANTHONY JON FERRETTI DO
Orthopaedic Surgery
5401 PEACH ST, SUITE 3300
ERIE, PA 16509
Erie County (814) 868-7840
MEDICAL ASSOCIATES OF ERIE INC.
Non-Pharmacy Dispensing Site
5401 PEACH ST, 3RD FLOOR
ERIE, PA 16509
Erie County (814) 868-7850
DR. GARRETT CLARK D.O.
Internal Medicine
5401 PEACH ST, SUITE 3500
ERIE, PA 16509
Erie County (814) 868-2179
DR. KAREN MARIE WILLENBRING M.D.
Family Medicine
5401 PEACH ST
ERIE, PA 16509
Erie County (814) 868-2179
JASON E LEE DPM
Podiatrist (Foot & Ankle Surgery)
5401 PEACH ST, SUITE 3600
ERIE, PA 16509
Erie County (814) 868-2170
DR. JAN T HENDRYX D.O.
Neuromusculoskeletal Medicine & OMM
5401 PEACH ST, SUITE 3500
ERIE, PA 16509
Erie County (814) 868-2179
DR. SYDNEY HILLARY MIGGANTZ
Podiatrist (Foot & Ankle Surgery)
5401 PEACH ST
ERIE, PA 16509
Erie County (814) 868-2200

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 Paula Ballarin's NPI number?

The NPI number for Paula Ballarin is 1306801055. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Paula Ballarin located?

Paula Ballarin practices at 5401 Peach St Suite 3100, Erie, PA 16509. The listed phone number is (814) 868-7830.

What is Paula Ballarin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paula Ballarin enrolled in Medicare?

Yes. Paula Ballarin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paula Ballarin was last updated on August 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.