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DR. HELARD GUNTHER BALLON-HENNINGS M.D.
NPI 1346443348
Obstetrics & Gynecology in Las Vegas, NV

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
9260 W SUNSET RD STE 202, LAS VEGAS, NV 89148(702) 800-7008(702) 800-2711 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2022, Jul 22, 2021, Jul 25, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Helard Gunther Ballon-hennings M.d. NPPES

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

DR. HELARD GUNTHER BALLON-HENNINGS M.D. (NPI 1346443348) is an individual obstetrics & gynecology provider in Las Vegas, Nevada, licensed in Nevada (16489) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1346443348
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. HELARD GUNTHER BALLON-HENNINGSCredential: M.D.
Location Address9260 W SUNSET RD STE 202Las Vegas, NV 89148-4903
Mailing Address8906 Spanish Ridge Ave Ste 202Las Vegas, NV 89148-1319 · (702) 330-3102 · Fax (702) 912-4994
Phone(702) 800-7008
Fax(702) 800-2711
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 7, 2007
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1346443348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NV · 16489
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.
9260 W SUNSET RD STE 202, Las Vegas, NV 89148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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. Helard Gunther Ballon-hennings 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 ID4486705662
PECOS Enrollment IDI20170413001350
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

3

Medicare enrollment records show Helard Ballon-hennings reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nevada Womens Hospitalists - Storey PLLC
1.3 mi
Obstetrics & Gynecology
8906 SPANISH RIDGE AVE STE 202
Las Vegas, NV 89148
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Nevada Womens Hospitalists Dickens PLLC
  • 30 clinicians in this Medicare group
NPI 1528628047 (702) 577-1622
Iriye Medical Group PLLC
9.5 mi
Maternal & Fetal Medicine
2011 PINTO LANE, SUITE 200
Las Vegas, NV 89106
  • Reassigned Medicare billing, Nevada enrollment
  • 96 clinicians in this Medicare group
NPI 1467496240 (702) 382-3200
Women's Health Associates Of Southern Nevada- Martin, PLLC
1,832 mi
Obstetrics & Gynecology
5801 POSTAL RD UNIT 450709
Cleveland, OH 44181
  • Reassigned Medicare billing, Nevada enrollment
  • 113 clinicians in this Medicare group
NPI 1598906166 (702) 577-1622

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

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
18%347 patients
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.

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 Helard Ballon-hennings's NPI number?

The NPI number for Helard Ballon-hennings is 1346443348. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Helard Ballon-hennings located?

Helard Ballon-hennings practices at 9260 W Sunset Rd Ste 202, Las Vegas, NV 89148. The listed phone number is (702) 800-7008.

What is Helard Ballon-hennings's specialty?

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

Is Helard Ballon-hennings enrolled in Medicare?

Yes. Helard Ballon-hennings 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 Helard Ballon-hennings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helard Ballon-hennings reassigns Medicare benefits to 3 organizations: Nevada Womens Hospitalists - Storey PLLC (Las Vegas, NV), Iriye Medical Group PLLC (Las Vegas, NV) and Women's Health Associates Of Southern Nevada- Martin, PLLC (Cleveland, 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 Helard Ballon-hennings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helard Ballon-hennings accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Helard Ballon-hennings 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 Helard Ballon-hennings was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.