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MR. STANLEY BALLOU MD
NPI 1316975105
Internal Medicine - Rheumatology in Cleveland, OH

Active since June 29, 2006PECOS Enrolled
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Stanley Ballou Md NPPES

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

MR. STANLEY BALLOU MD (NPI 1316975105) is an individual rheumatology provider in Cleveland, Ohio, licensed in Ohio (35-03-7255-B) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316975105
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMR. STANLEY BALLOUCredential: MD
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (216) 778-4765
Phone(216) 778-7800
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateDecember 22, 2021
✔ NPI 1316975105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OH · 35-03-7255-B
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

Other Identifiers 1

Medicaid0556349OH

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 (PECOS)

Mr. Stanley Ballou Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Stanley Ballou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Metrohealth System
0.1 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services31 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.
32 services26 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.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

AMIR RAZAVI MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
WILLIAM STEPHEN BARNES II DMD
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
CATHERINE V. DABRAMO MD
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
RHONDA KOCINSKI CNP
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. VANESSA PHILLIS HO MD
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. JOI S. COPELAND DDS
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4725
DR. FRANK KENNER PH.D.
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. KRUPA PARIKH MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800

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 Stanley Ballou's NPI number?

The NPI number for Stanley Ballou is 1316975105. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Stanley Ballou located?

Stanley Ballou practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Stanley Ballou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Stanley Ballou enrolled in Medicare?

Yes. Stanley Ballou is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stanley Ballou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Ballou reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). The 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 Stanley Ballou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stanley Ballou accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Stanley Ballou 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 Stanley Ballou was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.