DR. ZACHARY E BALLENGER MD
NPI 1417236902
Radiology - Diagnostic Radiology in Orange City, FL

Active since August 15, 2011PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
1055 SAXON BLVD, ORANGE CITY, FL 32763(386) 917-5000 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2020, May 9, 2016, Nov 30, 2015 (3 updates tracked since 2015).

About Dr. Zachary E Ballenger Md NPPES

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

DR. ZACHARY E BALLENGER MD (NPI 1417236902) is an individual diagnostic radiology provider in Orange City, Florida, licensed in Florida (ME144863) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Texas Medical Branch At Galveston (2010).

NPPES Registry Identity

NPI1417236902
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ZACHARY E BALLENGERCredential: MD
Location Address1055 SAXON BLVDOrange City, FL 32763-8468
Mailing Address1055 Saxon BlvdOrange City, FL 32763-8468 · (386) 917-5000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2010
Enumeration DateAugust 15, 2011
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1417236902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME144863 Licensed in TX · Q4896 Licensed in IN · 01071787A Licensed in IN · 11016227A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1055 SAXON BLVD, Orange City, FL 32763

Other Identifiers 1

Medicaid201106150IN

Accepted Insurance

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. Zachary E Ballenger 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 ID5799921227
PECOS Enrollment IDI20200714000426, I20220330003122
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.

Areas of Expertise CMS Part B claims 35

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
7,996 services97 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
5,505 services34 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
429 services424 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
405 services391 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
279 services277 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
224 services221 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763
Dietitian, Registered
1055 SAXON BLVD
ORANGE CITY, FL 32763
Emergency Medicine
1055 SAXON BLVD
ORANGE CITY, FL 32763
Physician Assistant
1055 SAXON BLVD
ORANGE CITY, FL 32763
Emergency Medicine
1055 SAXON BLVD
ORANGE CITY, FL 32763
Emergency Medicine
1055 SAXON BLVD
ORANGE CITY, FL 32763
Nurse Practitioner (Family)
1055 SAXON BLVD
ORANGE CITY, FL 32763
Physician Assistant
1055 SAXON BLVD
ORANGE CITY, FL 32763

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 Zachary Ballenger's NPI number?

The NPI number for Zachary Ballenger is 1417236902. It was assigned to this individual provider in the NPPES registry on August 15, 2011.

Where is Zachary Ballenger located?

Zachary Ballenger practices at 1055 Saxon Blvd, Orange City, FL 32763. The listed phone number is (386) 917-5000.

What is Zachary Ballenger's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Zachary Ballenger enrolled in Medicare?

Yes. Zachary Ballenger 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.

What insurance does Zachary Ballenger accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Oscar Health Maintenance Organization of Florida list Zachary Ballenger 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.

Is Zachary Ballenger affiliated with any hospitals?

According to CMS data, Zachary Ballenger is affiliated with Adventhealth Orlando, Adventhealth New Smyrna Beach, Adventhealth Deland, Adventhealth Waterman and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Zachary Ballenger was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.