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CYNTHIA ANN BALLENGER MD
NPI 1811095771
Radiology - Radiation Oncology in Smithfield, NC

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
514 N BRIGHTLEAF BLVD STE 1200, SMITHFIELD, NC 27577(919) 209-3555 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2020, Aug 25, 2016, Mar 22, 2016 and 2 more (5 updates tracked since 2016).

About Cynthia Ann Ballenger Md NPPES

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

CYNTHIA ANN BALLENGER MD (NPI 1811095771) is an individual radiation oncology provider in Smithfield, North Carolina, licensed in North Carolina (96-01555) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1995).

NPPES Registry Identity

NPI1811095771
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameCYNTHIA ANN BALLENGERCredential: MD
Location Address514 N BRIGHTLEAF BLVD STE 1200Smithfield, NC 27577-4486
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & RelationsFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(919) 209-3555
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1995
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 23, 20205 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
✔ NPI 1811095771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in NC · 96-01555✔ Licensed in VA · 0101 230080✔ Licensed in GA · 051907
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
514 N BRIGHTLEAF BLVD STE 1200, Smithfield, NC 27577
Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 WH Smith BlvdGreenville, NC 27834-3764 · Phone (252) 329-0025 · Fax (252) 329-0325

Other Identifiers 8

Other12773NC · Bcbs
Other205504NC · Medcost
OtherP01619309NC · Rr Medicare
Medicaid1811095771NC
Other7331362NC · Aetna
Other8373963NC · Cigna
Medicaid8912773NC
OtherP00612671NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia Ann Ballenger 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 ID8820996713
PECOS Enrollment IDI20031230000355
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 Reassignments

2

Medicare enrollment records show Cynthia Ballenger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Watauga Medical Center Inc
192 mi
General Acute Care Hospital
336 DEERFIELD RD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 129 clinicians in this Medicare group
NPI 1205859766 (828) 262-4100
Radiation Therapy Associates Of Western North Carolina, PA
205 mi
Urology
141 TRYON RD, SUITE B
Rutherfordton, NC 28139
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Adventhealth Medical Group Cancer And Specialty Care LLC
  • 17 clinicians in this Medicare group
NPI 1891086096 (828) 286-1445

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 15

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
968 services63 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
298 services65 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
275 services62 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
162 services64 patients
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002
Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
151 services16 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.
94 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
77%94 patients4/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
12%155 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%145 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
22%305 patients1/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
94%537 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%204 patients4/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 100 patients
0%100 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Cynthia Ballenger's NPI number?

The NPI number for Cynthia Ballenger is 1811095771. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Cynthia Ballenger located?

Cynthia Ballenger practices at 514 N Brightleaf Blvd Ste 1200, Smithfield, NC 27577. The listed phone number is (919) 209-3555.

What is Cynthia Ballenger's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Cynthia Ballenger enrolled in Medicare?

Yes. Cynthia Ballenger 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.

Which organizations bill Medicare for Cynthia Ballenger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Ballenger reassigns Medicare benefits to 2 organizations: Watauga Medical Center Inc (Boone, NC) and Radiation Therapy Associates Of Western North Carolina, PA (Rutherfordton, NC). Each 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 Cynthia Ballenger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Ballenger accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Cynthia Ballenger 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 Cynthia Ballenger was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.