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WILLIAM CLAYTON BALLANTINE M.D.
NPI 1801835624
Internal Medicine in Asheville, NC

Active since June 06, 2006PECOS Enrolled
76 PEACHTREE RD, SUITE 120, ASHEVILLE, NC 28803(828) 277-6789(828) 277-6780 Get Directions Write a Review

NPPES record last updated: October 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William Clayton Ballantine M.d. NPPES

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

WILLIAM CLAYTON BALLANTINE M.D. (NPI 1801835624) is an individual internal medicine provider in Asheville, North Carolina, licensed in North Carolina (9300018) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801835624
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWILLIAM CLAYTON BALLANTINECredential: M.D.
Location Address76 PEACHTREE RD, SUITE 120Asheville, NC 28803-3395
Mailing Address76 Peachtree Rd, Suite 120Asheville, NC 28803-3395 · (828) 277-6789 · Fax (828) 277-6780
Phone(828) 277-6789
Fax(828) 277-6780
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 14, 2013
✔ NPI 1801835624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9300018
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.
76 PEACHTREE RD, Asheville, NC 28803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Clayton Ballantine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show William Ballantine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Premier Medicine, PLLC
0.1 mi
Internal Medicine
70 PEACHTREE ROAD, SUITE 230
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
NPI 1528397585 (828) 277-6789

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.
239 services146 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.
123 services120 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
84 services83 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
73 services73 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
73 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
51 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers19 claims19 services$35.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$69.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims29 services$27.75 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers15 claims87 services$15.54 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers21 claims21 services$51.01 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers23 claims23 services$15.72 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.

THOMAS BRODERICK MULFORD MD
Anesthesiology
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 274-3477
EVERETT L PERRY MD
Anesthesiology
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 254-1969
ANTOINETTE MARIE ANCARANA CRNA
Nurse Anesthetist, Certified Registered
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 274-3477
KENNETH B WALKER CRNA
Nurse Anesthetist, Certified Registered
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 254-1969
ASHEVILLE PHYSICAL THERAPY
Public Health or Welfare
76 PEACHTREE RD, STE 204
ASHEVILLE, NC 28803
Buncombe County (828) 277-7547
ANGELA MICHELLE SIMMONS
Nurse Anesthetist, Certified Registered
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 254-1969
STEVEN JAMES ROSFJORD
Nurse Anesthetist, Certified Registered
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 274-3477
STEVEN DAVID ROOS MD
Anesthesiology
76 PEACHTREE RD, SUITE 300
ASHEVILLE, NC 28803
Buncombe County (828) 254-1969

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 William Ballantine's NPI number?

The NPI number for William Ballantine is 1801835624. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is William Ballantine located?

William Ballantine practices at 76 Peachtree Rd Suite 120, Asheville, NC 28803. The listed phone number is (828) 277-6789.

What is William Ballantine's specialty?

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

Is William Ballantine enrolled in Medicare?

Yes. William Ballantine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Ballantine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Ballantine reassigns Medicare benefits to Blue Ridge Premier Medicine, PLLC (Asheville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Ballantine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Ballantine accept?

Health plans from Cigna Healthcare list William Ballantine 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.

When was this NPI record last updated?

The NPPES record for William Ballantine was last updated on October 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.