DEBRA LYNN BALLARES FNP
NPI 1427756238
Nurse Practitioner - Family in Orangeburg, SC
About Debra Lynn Ballares Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA LYNN BALLARES FNP (NPI 1427756238) is an individual family provider in Orangeburg, South Carolina, licensed in South Carolina (26949) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Debra Lynn Ballares Fnp 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
2Medicare enrollment records show Debra Ballares reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 658 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours-St Francis Xavier Hospital
Acute Care Hospitals · Charleston, SCRoper Hospital
Acute Care Hospitals · Charleston, SCRoper St Francis Hospital-Berkeley Inc
Acute Care Hospitals · Summerville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29118 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGEBURG, SC 29118
ORANGEBURG, SC 29118
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 Debra Ballares's NPI number?
The NPI number for Debra Ballares is 1427756238. It was assigned to this individual provider in the NPPES registry on February 21, 2023.
Where is Debra Ballares located?
Debra Ballares practices at 1161 Cook Rd, Orangeburg, SC 29118. The listed phone number is (803) 395-4600.
What is Debra Ballares's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Debra Ballares enrolled in Medicare?
Yes. Debra Ballares 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 Debra Ballares's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Ballares reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and Roper Saint Francis Physicians Network (Sumter, SC). 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 Debra Ballares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Ballares accept?
Health plans from BlueCross BlueShield of South Carolina and Oscar Health Plan of North Carolina, Inc list Debra Ballares 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 Debra Ballares affiliated with any hospitals?
According to CMS data, Debra Ballares is affiliated with Bon Secours-St Francis Xavier Hospital, Roper Hospital and Roper St Francis Hospital-Berkeley Inc.
When was this NPI record last updated?
The NPPES record for Debra Ballares was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Debra Lynn Ballares, FNP · NPI 1427756238
Family physician in Orangeburg, South Carolina. Individual provider, active in the CMS NPPES registry since February 21, 2023.
## Identity
- **NPI:** 1427756238 (Entity type: Individual)
- **Enumerated:** February 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26949 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1161 COOK RD, Orangeburg, SC 29118-8204
- **Phone:** (803) 395-4600
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Musc Community Physicians (NPI 1841878006, Bamberg, SC); Roper Saint Francis Physicians Network (NPI 1528319100, Sumter, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1427756238) · Data from the CMS NPPES public registry.