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DR. SHELDON A BALLOU DMD
NPI 1578668562
Dentist in Cave City, KY

Active since September 14, 2006PECOS Enrolled
203 S DIXIE HWY, CAVE CITY, KY 42127(270) 773-3943(270) 773-3944 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sheldon A Ballou Dmd NPPES

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

DR. SHELDON A BALLOU DMD (NPI 1578668562) is an individual dentist in Cave City, Kentucky, licensed in Kentucky (6425) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578668562
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHELDON A BALLOUCredential: DMD
Location Address203 S DIXIE HWYCave City, KY 42127
Mailing Address203 S Dixie HwyCave City, KY 42127 · (270) 773-3943 · Fax (270) 773-3944
Phone(270) 773-3943
Fax(270) 773-3944
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1578668562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in KY · 6425
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
203 S DIXIE HWY, Cave City, KY 42127
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Other Identifiers 1

Medicaid61901096KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sheldon A Ballou Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42127 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

SHELDON A. BALLOU, DMD, PSC
Dentist (General Practice)
203 S DIXIE HWY
CAVE CITY, KY 42127
Barren County (270) 773-3943
DR. JASON RYAN COOMER DMD
Dentist (General Practice)
203 S DIXIE HWY
CAVE CITY, KY 42127
Barren County (270) 773-3943
SHELDON A. BALLOU DMD,P.S.C.
Dentist (General Practice)
203 S DIXIE HWY
CAVE CITY, KY 42127
Barren County (270) 773-3943

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 Sheldon Ballou's NPI number?

The NPI number for Sheldon Ballou is 1578668562. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Sheldon Ballou located?

Sheldon Ballou practices at 203 S Dixie Hwy, Cave City, KY 42127. The listed phone number is (270) 773-3943.

What is Sheldon Ballou's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sheldon Ballou enrolled in Medicare?

Yes. Sheldon Ballou is registered in the Medicare PECOS enrollment system.

What insurance does Sheldon Ballou accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Sheldon 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.

When was this NPI record last updated?

The NPPES record for Sheldon Ballou was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.