DR. DAVID ADRIAN BALLACK DO
NPI 1386134419
Psychiatry & Neurology - Psychiatry in St Augustine, FL

Q: What is David Ballack's NPI number?

The NPI number for David Ballack is 1386134419. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is David Ballack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for David Ballack was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 May 15, 2018PECOS EnrolledAccepts Medicare Assignment

400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086(904) 819-5155 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Aug 16, 2023, Jul 10, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Dr. David Adrian Ballack Do NPPES

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

DR. DAVID ADRIAN BALLACK DO (NPI 1386134419) is an individual psychiatry provider in St Augustine, Florida, licensed in Florida (17707) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386134419

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. DAVID ADRIAN BALLACKCredential: DO

Location Address400 HEALTH PARK BLVDSt Augustine, FL 32086-5784

Mailing AddressPo Box 100183Gainesville, FL 32610-0183 · (352) 392-0104 · Fax (352) 392-8217

Phone(904) 819-5155

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 15, 2018

Last NPPES UpdateMay 6, 20254 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1386134419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · 17707

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

400 HEALTH PARK BLVD, St Augustine, FL 32086

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Secondary Practice Locations 3

Location 1600 E Dixie AveLeesburg, FL 34748 · Phone (352) 392-0104

Location 21600 SW Archer RdGainesville, FL 32610-3888 · Phone (352) 265-7922

Location 3315 Palm Coast Pkwy NEPalm Coast, FL 32137-3888 · Phone (386) 317-8930

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. David Adrian Ballack Do 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 ID7911256458

PECOS Enrollment IDI20230914000230

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.

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

HEATHER LESHANE P.T.

Physical Therapist

400 HEALTH PARK BLVD
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4374

MANDANA DAVANI M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

DAVID S GOINS PA

Physician Assistant

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

TERESA M MAZUR MD

Emergency Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 826-4700

RIPP A SMITH M.D.

Radiology (Diagnostic Radiology)

400 HEALTH PARK BLVD, ATTN: ST. JOHNS RADIOLOGY ASSOCIATES
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4398

HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.

Internal Medicine

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (615) 377-5658

MR. GARY WAYNE CATER D.O.

Pediatrics (Neonatal-Perinatal Medicine)

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-4478

EMILY MCCARTHY

Nurse Anesthetist, Certified Registered

400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086

St. Johns County (904) 819-5155

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 David Ballack's NPI number?

The NPI number for David Ballack is 1386134419. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is David Ballack located?

David Ballack practices at 400 Health Park Blvd, St Augustine, FL 32086. The listed phone number is (904) 819-5155.

What is David Ballack's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Ballack enrolled in Medicare?

Yes. David Ballack 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.

Is David Ballack affiliated with any hospitals?

According to CMS data, David Ballack is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for David Ballack was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.