DR. CLAUDIO BALLESTER M.D.
NPI 1326327552
Orthopaedic Surgery in Orange, CA

Q: What is Claudio Ballester's NPI number?

The NPI number for Claudio Ballester is 1326327552. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Q: What is Claudio Ballester's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Claudio Ballester was last updated on August 7, 2018. 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.

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment

1310 W STEWART DR STE 508, ORANGE, CA 92868(714) 633-2111 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2018, Jul 27, 2018 (2 updates tracked since 2018).

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About Dr. Claudio Ballester M.d. NPPES

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

DR. CLAUDIO BALLESTER M.D. (NPI 1326327552) is an individual orthopaedic surgery provider in Orange, California, licensed in California (A150179) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Hospital Pavia Arecibo, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1326327552

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CLAUDIO BALLESTERCredential: M.D.

Location Address1310 W STEWART DR STE 508Orange, CA 92868

Mailing Address1310 W Stewart Dr Ste 508Orange, CA 92868-3856 · (714) 633-2111

Phone(714) 633-2111

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2011

Enumeration DateAugust 5, 2011

Last NPPES UpdateAugust 7, 20182 updates tracked since enumeration

✔ NPI 1326327552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in CA · A150179✔ Licensed in VA · 0101259588

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1310 W STEWART DR STE 508, Orange, CA 92868

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Secondary Practice Location 1

Location 11501 Maple Ave, Suite 200Richmond, VA 23226-2553 · Phone (804) 285-2300 ext. 127 · Fax (804) 285-8420

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. Claudio Ballester M.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 ID7416241435

PECOS Enrollment IDI20210319002187

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.

Hospital Affiliations CMS Care Compare

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

Hospital Pavia Arecibo

Acute Care Hospitals · Arecibo, PR

OwnershipProprietary

CMS Certification Number400087

LocationCarretera 129 Km.1 Avenida San LuisArecibo, PR 00612 · Arecibo County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

6 suppliers51 claims51 services$507.93 avg. paid by Medicare

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851

DME-Orthotic Devices · category DF011N

5 suppliers64 claims89 services$550.24 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

10 suppliers75 claims107 services$98.92 avg. paid by Medicare

Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf L3916

DME-Orthotic Devices · category DF000N

9 suppliers32 claims55 services$353.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

LISA ANN CAO M.D.

Orthopaedic Surgery