DR. KENNETH H BALLENTINE O.D.
NPI 1548230071
Optometrist in San Jose, CA

Q: What is Kenneth Ballentine's NPI number?

The NPI number for Kenneth Ballentine is 1548230071. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Kenneth Ballentine's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 26, 2006PECOS Enrolled

5275 PROSPECT RD, SAN JOSE, CA 95129(408) 255-0576(408) 255-0577 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kenneth H Ballentine O.d. NPPES

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

DR. KENNETH H BALLENTINE O.D. (NPI 1548230071) is an individual optometrist in San Jose, California, licensed in California (6863T) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548230071

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KENNETH H BALLENTINECredential: O.D.

Location Address5275 PROSPECT RDSan Jose, CA 95129-5031

Mailing Address5275 Prospect RdSan Jose, CA 95129-5031 · (408) 255-0576 · Fax (408) 255-0577

Phone(408) 255-0576

Fax(408) 255-0577

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateFebruary 3, 2010

✔ NPI 1548230071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 6863T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

5275 PROSPECT RD, San Jose, CA 95129

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Other Identifiers 5

Other94-2710370CA · Federal Taxpayer Id

MedicaidSD0068630CA

Medicare PINSD0068630

Medicare UPINT10429CA

Medicare NSC0154770001CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth H Ballentine O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kenneth Ballentine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kenneth H. Ballentine Od Inc.

0.1 mi

Eyewear Supplier

5275 PROSPECT RD
San Jose, CA 95129

Reassigned Medicare billing, California enrollment

NPI 1649448507 (408) 255-0576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95129 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES

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

KENNETH H. BALLENTINE OD INC.

Eyewear Supplier

5275 PROSPECT RD
SAN JOSE, CA 95129

Santa Clara County (408) 255-0576

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 Kenneth Ballentine's NPI number?

The NPI number for Kenneth Ballentine is 1548230071. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Kenneth Ballentine located?

Kenneth Ballentine practices at 5275 Prospect Rd, San Jose, CA 95129. The listed phone number is (408) 255-0576.

What is Kenneth Ballentine's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kenneth Ballentine enrolled in Medicare?

Yes. Kenneth Ballentine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Ballentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Ballentine reassigns Medicare benefits to Kenneth H. Ballentine Od Inc. (San Jose, CA). 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 Kenneth Ballentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Ballentine accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Providence Health Plan list Kenneth Ballentine 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.

When was this NPI record last updated?

The NPPES record for Kenneth Ballentine was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.