Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEBRA LYNN BALLARES FNP
NPI 1427756238
Nurse Practitioner - Family in Orangeburg, SC

Active since February 21, 2023PECOS EnrolledAccepts Medicare Assignment
1161 COOK RD, ORANGEBURG, SC 29118(803) 395-4600 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, May 28, 2025, Mar 21, 2023 and 1 more (4 updates tracked since 2023).

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

NPI1427756238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA LYNN BALLARESCredential: FNP
Location Address1161 COOK RDOrangeburg, SC 29118-8204
Mailing AddressPo Box 23321New York, NY 10087-4321 · (803) 395-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 21, 2023
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1427756238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 26949
1161 COOK RD, Orangeburg, SC 29118

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

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.

PECOS PAC ID9032584016
PECOS Enrollment IDI20230404002566
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
132 services107 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services40 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

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, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1161 COOK RD
ORANGEBURG, SC 29118
Internal Medicine (Hematology & Oncology)
1161 COOK RD
ORANGEBURG, SC 29118
Internal Medicine (Hematology & Oncology)
1161 COOK RD
ORANGEBURG, SC 29118
Clinic/Center (Oncology, Radiation)
1161 COOK RD
ORANGEBURG, SC 29118
Clinic/Center (Oncology)
1161 COOK RD
ORANGEBURG, SC 29118
Internal Medicine (Hematology & Oncology)
1161 COOK RD
ORANGEBURG, SC 29118
Pharmacist
1161 COOK RD
ORANGEBURG, SC 29118
Nurse Practitioner (Family)
1161 COOK RD
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.

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 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.