MARGUERITE C BALLOU MD
NPI 1467940056
Student in an Organized Health Care Education/Training Program in Morgantown, WV
About Marguerite C Ballou Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGUERITE C BALLOU MD (NPI 1467940056) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Other (2018).
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
Marguerite C Ballou 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.
Medicare Billing Reassignment
Medicare enrollment records show Marguerite Ballou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pittsfield, MA 01201
- Reassigned Medicare billing, Massachusetts enrollment
- 405 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkshire Medical Center
Acute Care Hospitals · Pittsfield, MAFairview Hospital
Critical Access Hospitals · Great Barrington, MAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORGANTOWN, WV 26506
MORGANTOWN, WV 26506
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 Marguerite Ballou's NPI number?
The NPI number for Marguerite Ballou is 1467940056. It was assigned to this individual provider in the NPPES registry on April 29, 2018.
Where is Marguerite Ballou located?
Marguerite Ballou practices at 1 Medical Center Dr Rm 4601, Morgantown, WV 26506. The listed phone number is (304) 598-0430.
What is Marguerite Ballou's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marguerite Ballou enrolled in Medicare?
Yes. Marguerite Ballou 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 organization bills Medicare for Marguerite Ballou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marguerite Ballou reassigns Medicare benefits to Berkshire Faculty Services Inc (Pittsfield, MA). The 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 Marguerite Ballou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marguerite Ballou accept?
Health plans from Anthem Blue Cross and Blue Shield list Marguerite Ballou 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 Marguerite Ballou affiliated with any hospitals?
According to CMS data, Marguerite Ballou is affiliated with Berkshire Medical Center and Fairview Hospital.
When was this NPI record last updated?
The NPPES record for Marguerite Ballou was last updated on April 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Marguerite C Ballou, MD · NPI 1467940056
Student in an Organized Health Care Education/Training Program provider in Morgantown, West Virginia. Individual provider, active in the CMS NPPES registry since April 29, 2018.
## Identity
- **NPI:** 1467940056 (Entity type: Individual)
- **Enumerated:** April 29, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR RM 4601, Morgantown, WV 26506-1200
- **Phone:** (304) 598-0430 · **Fax:** (304) 598-4711
## 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:** Berkshire Faculty Services Inc (NPI 1548212939, Pittsfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 29, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1467940056) · Data from the CMS NPPES public registry.