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CATHLEEN M BALLANCE MD
NPI 1760451488
Pediatrics in Neptune, NJ

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
1945 ROUTE 33, NEPTUNE, NJ 07753(732) 776-4267(732) 776-3161 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cathleen M Ballance Md NPPES

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

CATHLEEN M BALLANCE MD (NPI 1760451488) is an individual pediatrics provider in Neptune, New Jersey, licensed in New Jersey (25MA06124800) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1993).

NPPES Registry Identity

NPI1760451488
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCATHLEEN M BALLANCECredential: MD
Location Address1945 ROUTE 33Neptune, NJ 07753-4859
Mailing Address1945 Route 33Neptune, NJ 07753-4859 · (732) 776-4267 · Fax (732) 776-3161
Phone(732) 776-4267
Fax(732) 776-3161
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1993
Enumeration DateMarch 15, 2006
Last NPPES UpdateNovember 22, 2010
✔ NPI 1760451488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA06124800
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1945 ROUTE 33, Neptune, NJ 07753
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Other Identifiers 2

Medicare UPING61555NJ
Medicare PIN960033UWHNJ

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

Cathleen M Ballance Md 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 ID8729010384
PECOS Enrollment IDI20050922000206
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 07753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

AMEER ASHRAF METWALLY DO
Student in an Organized Health Care Education/Training Program
1945 ROUTE 33
NEPTUNE TOWNSHIP, NJ 07753
Monmouth County (732) 776-4328
CORTNEY SEITZ PAC
Physician Assistant
1945 ROUTE 33, K HOVNANIAN CHILDREN'S HOSPITAL
NEPTUNE, NJ 07753
Monmouth County (732) 413-3626
VICTORIA LYNN WILKINS DO
Student in an Organized Health Care Education/Training Program
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
STEPHANIE WICKMAN PA
Physician Assistant
1945 ROUTE 33, FL 4 ACKERMAN
NEPTUNE, NJ 07753
Monmouth County (732) 776-4949
DR. DENISE L LIVINGSTON MD, PHD
Emergency Medicine
1945 ROUTE 33, DEPARTMENT OF EMERGENCY MEDICINE
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
SHAKIA WEST
Registered Nurse (Psychiatric/Mental Health)
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (908) 675-2772
MICHELLE CATALANO PA
Physician Assistant
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-3980
MELISSA MECKA
Nurse Practitioner (Family)
1945 ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 202-8074

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 Cathleen Ballance's NPI number?

The NPI number for Cathleen Ballance is 1760451488. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Cathleen Ballance located?

Cathleen Ballance practices at 1945 Route 33, Neptune, NJ 07753. The listed phone number is (732) 776-4267.

What is Cathleen Ballance's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Cathleen Ballance enrolled in Medicare?

Yes. Cathleen Ballance 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 Cathleen Ballance was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.