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BERNARD H BALLOU MD
NPI 1598773483
Internal Medicine in Gainesville, FL

Active since August 04, 2006PECOS Enrolled
82.68/100
CMS Quality Rating
3720 NW 83RD ST, GAINESVILLE, FL 32606(352) 336-3050 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernard H Ballou Md NPPES

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

BERNARD H BALLOU MD (NPI 1598773483) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME0049070) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1985).

NPPES Registry Identity

NPI1598773483
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBERNARD H BALLOUCredential: MD
Location Address3720 NW 83RD STGainesville, FL 32606-5603
Mailing AddressPo Box 358720Gainesville, FL 32635-8720 · (352) 331-6410 · Fax (352) 331-6410
Phone(352) 336-3050
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1985
Enumeration DateAugust 4, 2006
Last NPPES UpdateMay 5, 2009
✔ NPI 1598773483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0049070
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3720 NW 83RD ST, Gainesville, FL 32606
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Other Identifiers 3

Medicare UPIND51422
Medicare PIN05794FL
Medicaid048165300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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)

Bernard H Ballou Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335041235
PECOS Enrollment IDI20040122000150
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 7

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.
432 services249 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.
327 services201 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
299 services270 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
49 services41 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
46 services24 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
36 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32606 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.36
Improvement Activities40

Reported Quality Measures

Screening for Osteoporosis for Women Aged 65-85 Years of Age
85%139 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers65 claims179 services$6.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers33 claims49 services$1.11 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$15.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims72 services$2.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$79.61 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers15 claims15 services$137.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

BERNARD H. BALLOU MD PA
Internal Medicine
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
DR. CYNTHIA L. PRESTON M.D.
Internal Medicine
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
CYNTHIA L PRESTON MD PA
Internal Medicine
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
DR. NANNETTE BARBARA HOFFMAN MD
Internal Medicine (Geriatric Medicine)
3720 NW 83RD ST, SENIOR HEALTHCARE CENTER
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
EYRONE MORGAN BUSH MSN, APRN, FNP-BC
Nurse Practitioner (Family)
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
NORTH FLORIDA REGIONAL MEDICAL CENTER, INC.
Clinic/Center
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
JULIE ZHU MD
Internal Medicine (Geriatric Medicine)
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050
JAMES J NELSON MD PA
Internal Medicine (Cardiovascular Disease)
3720 NW 83RD ST
GAINESVILLE, FL 32606
Alachua County (352) 336-3050

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 Bernard Ballou's NPI number?

The NPI number for Bernard Ballou is 1598773483. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Bernard Ballou located?

Bernard Ballou practices at 3720 NW 83rd St, Gainesville, FL 32606. The listed phone number is (352) 336-3050.

What is Bernard Ballou's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bernard Ballou enrolled in Medicare?

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

What insurance does Bernard Ballou accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Bernard 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 Bernard Ballou affiliated with any hospitals?

According to CMS data, Bernard Ballou is affiliated with Uf Health Shands Hospital and Hca Florida North Florida Hospital.

When was this NPI record last updated?

The NPPES record for Bernard Ballou was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.