LEVI TAYLOR BALLSTAEDT D.O
NPI 1619326188
Student in an Organized Health Care Education/Training Program in Kingman, AZ

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 757-0649 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Levi Taylor Ballstaedt D.o NPPES

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

LEVI TAYLOR BALLSTAEDT D.O (NPI 1619326188) is an individual student in an organized health care education/training program in Kingman, Arizona and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619326188
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLEVI TAYLOR BALLSTAEDTCredential: D.O
Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateJune 13, 2019
NPI 1619326188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 007719 (AZ)
3269 N STOCKTON HILL RD, Kingman, AZ 86409

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

Levi Taylor Ballstaedt D.o 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 ID2466885975
PECOS Enrollment IDI20200901000726
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
405 services390 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
235 services204 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
143 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services93 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Internal Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Pharmacist (Geriatric)
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Physician Assistant
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409

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 Levi Ballstaedt's NPI number?

The NPI number for Levi Ballstaedt is 1619326188. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Levi Ballstaedt located?

Levi Ballstaedt practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 757-0649.

What is Levi Ballstaedt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Levi Ballstaedt enrolled in Medicare?

Yes. Levi Ballstaedt 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.

When was this NPI record last updated?

The NPPES record for Levi Ballstaedt was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.