DR. STEVEN RAY BALLESTEROS M.D.
NPI 1609226133
Surgery in Mckeesport, PA

Q: What is Steven Ballesteros's NPI number?

The NPI number for Steven Ballesteros is 1609226133. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Steven Ballesteros's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment

77.5/100

CMS Quality Rating

500 HOSPITAL WAY STE 6, MCKEESPORT, PA 15132(412) 672-3422 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2022, Jun 15, 2016 (2 updates tracked since 2016).

On this page

About Dr. Steven Ray Ballesteros M.d. NPPES

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

DR. STEVEN RAY BALLESTEROS M.D. (NPI 1609226133) is an individual surgery provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MD478676) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609226133

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. STEVEN RAY BALLESTEROSCredential: M.D.

Location Address500 HOSPITAL WAY STE 6Mckeesport, PA 15132-2004

Mailing Address500 Hospital WayMckeesport, PA 15132-2004 · (412) 672-3422

Phone(412) 672-3422

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration

NPPES CertifiedJuly 26, 2022

✔ NPI 1609226133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD478676

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

500 HOSPITAL WAY STE 6, Mckeesport, PA 15132

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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

Dr. Steven Ray Ballesteros M.d. 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 ID1850688466

PECOS Enrollment IDI20220803001421

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services61 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 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.

13 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390002

Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County

Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390328

Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15132 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

77.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.61

Promoting Interoperability

100

Improvement Activities

Cost

56.4

Other Providers at the Same Location NPPES

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

MARC CORDERO

Surgery

500 HOSPITAL WAY STE 6
MCKEESPORT, PA 15132

Allegheny County (412) 672-3422

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 Steven Ballesteros's NPI number?

The NPI number for Steven Ballesteros is 1609226133. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Steven Ballesteros located?

Steven Ballesteros practices at 500 Hospital Way Ste 6, Mckeesport, PA 15132. The listed phone number is (412) 672-3422.

What is Steven Ballesteros's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Steven Ballesteros enrolled in Medicare?

Yes. Steven Ballesteros 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 Steven Ballesteros affiliated with any hospitals?

According to CMS data, Steven Ballesteros is affiliated with Upmc Mckeesport Hospital, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Steven Ballesteros was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.