LARRY CLAY BALLINGER DPM
NPI 1659326783
Podiatrist in San Diego, CA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130(858) 554-9300 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Clay Ballinger Dpm NPPES

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

LARRY CLAY BALLINGER DPM (NPI 1659326783) is an individual podiatrist in San Diego, California, licensed in California (E4626) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1659326783
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameLARRY CLAY BALLINGERCredential: DPM
Location Address3811 VALLEY CENTRE DRSan Diego, CA 92130-3318
Mailing AddressFile# 54433Los Angeles, CA 90074-0001
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2003
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 24, 2009
NPI 1659326783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E4626
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3811 VALLEY CENTRE DR, San Diego, CA 92130

Other Identifiers 3

Medicare PINWE4626A
Medicaid000E46260CA
Medicare UPINV09861

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

Larry Clay Ballinger Dpm 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 ID5799789384
PECOS Enrollment IDI20060913000386
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 18

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.
1,458 services631 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
311 services311 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
164 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
144 services118 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
88 services30 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
73 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier21 claims21 services$246.74 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 20

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

Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine (Cardiovascular Disease)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Nurse Practitioner (Pediatrics)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Family Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130
Internal Medicine
3811 VALLEY CENTRE DR, S99
SAN DIEGO, CA 92130
Nurse Practitioner (Primary Care)
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130

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 Larry Ballinger's NPI number?

The NPI number for Larry Ballinger is 1659326783. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Larry Ballinger located?

Larry Ballinger practices at 3811 Valley Centre Dr, San Diego, CA 92130. The listed phone number is (858) 554-9300.

What is Larry Ballinger's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Larry Ballinger enrolled in Medicare?

Yes. Larry Ballinger 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 Larry Ballinger was last updated on June 24, 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.