DR. DAVID ADRIAN BALLACK DO
NPI 1386134419
Psychiatry & Neurology - Psychiatry in St Augustine, FL
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
Specialties & Licenses
Secondary Practice Locations 3
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. 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.
Medicare Billing Reassignments
4Medicare enrollment records show David Ballack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Augustine, FL 32086
- Reassigned Medicare billing, Florida enrollment
- 354 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 132 clinicians in this Medicare group
Valdosta, GA 31602
- Reassigned Medicare billing, Florida enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLPhysician 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.
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.
SAINT AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
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.
Which organizations bill Medicare for David Ballack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Ballack reassigns Medicare benefits to 4 organizations: Villages Regional Hospital Physician Services LLC (St Augustine, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL), Florida Health Care Plan, Inc (Daytona Beach, FL) and Sgmp Southland LLC (Valdosta, GA). 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 David Ballack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Dr. David Adrian Ballack, DO · NPI 1386134419
Psychiatry physician in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1386134419 (Entity type: Individual)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 17707 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 HEALTH PARK BLVD, St Augustine, FL 32086-5784
- **Phone:** (904) 819-5155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Villages Regional Hospital Physician Services LLC (NPI 1083548861, St Augustine, FL); Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); Florida Health Care Plan, Inc (NPI 1558302042, Daytona Beach, FL); Sgmp Southland LLC (NPI 1447695085, Valdosta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1386134419) · Data from the CMS NPPES public registry.