PAUL BALLINGER MD
NPI 1407885890
Internal Medicine - Gastroenterology in Wenatchee, WA

Q: What is Paul Ballinger's NPI number?

The NPI number for Paul Ballinger is 1407885890. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Paul Ballinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Paul Ballinger was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 30, 2006PECOS EnrolledAccepts Medicare Assignment

820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711(509) 436-3043 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Dec 19, 2022 (2 updates tracked since 2022).

On this page

About Paul Ballinger Md NPPES

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

PAUL BALLINGER MD (NPI 1407885890) is an individual gastroenterology provider in Wenatchee, Washington, licensed in Washington (MD00030682) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine.

NPPES Registry Identity

NPI1407885890

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NamePAUL BALLINGERCredential: MD

Location Address820 N CHELAN AVEWenatchee, WA 98801-2028

Mailing Address820 N Chelan AveWenatchee, WA 98801-2028 · (509) 663-8711

Phone(509) 663-8711

Fax(509) 436-3043

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of Medicine

Enumeration DateJune 30, 2006

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1407885890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WA · MD00030682

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

820 N CHELAN AVE, Wenatchee, WA 98801

Open in Google Maps ↗

Other Identifiers 3

Other315503WA · L&i Post 7/21/13

Other44466WA · L&i

Medicaid8147449WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Paul Ballinger Md 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 ID1951439629

PECOS Enrollment IDI20100517000894

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

Medicare enrollment records show Paul Ballinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wenatchee Valley Hospital

1.7 mi

Multi-Specialty

820 N CHELAN AVE
Wenatchee, WA 98801

Reassigned Medicare billing, Washington enrollment
558 clinicians in this Medicare group

NPI 1669719688 (509) 663-8711

Central Washington Health Services Association

2.1 mi

Emergency Medical Services

1201 S MILLER ST
Wenatchee, WA 98801

Reassigned Medicare billing, Washington enrollment
651 clinicians in this Medicare group

NPI 1801937453 (509) 662-1511

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 8

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

199 services197 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

110 services110 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

36 services35 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

24 services24 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

16 services16 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500016

Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

RICHARD A HESNER PT

Physical Therapist