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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANIEL JOSEPH BALLOW M.D.
NPI 1811280373
Urology in Pensacola, FL

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
1717 N E ST, SUITE 430, PENSACOLA, FL 32501(850) 437-8711 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2026, Apr 27, 2026, Mar 26, 2026 and 1 more (4 updates tracked since 2017).

About Dr. Daniel Joseph Ballow M.d. NPPES

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

DR. DANIEL JOSEPH BALLOW M.D. (NPI 1811280373) is an individual urology provider in Pensacola, Florida, licensed in Florida (ME125306) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811280373
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DANIEL JOSEPH BALLOWCredential: M.D.
Location Address1717 N E ST, SUITE 430Pensacola, FL 32501-6339
Mailing Address1717 N E St Ste 430Pensacola, FL 32501-6345 · (850) 437-8711
Phone(850) 437-8711
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2011
Enumeration DateMay 17, 2011
Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1811280373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME125306
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X · License U0071 (TX)
1717 N E ST, Pensacola, FL 32501
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Secondary Practice Locations 2

Location 12001 N Jefferson Ave Ste 210Mount Pleasant, TX 75455-2390 · Phone (903) 434-7111 · Fax (903) 577-6245
Location 2910 E Houston St Ste 600Tyler, TX 75702-8304 · Phone (903) 606-2644

Other Identifiers 2

OtherHVQ2QFL · Florida Blue
Medicaid017809100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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

Dr. Daniel Joseph Ballow M.d. 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 ID5395038814
PECOS Enrollment IDI20221128002139, I20250520002712
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

4

Medicare enrollment records show Daniel Ballow reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Phoebe Senior Center
187 mi
Clinic/Center
161 E BROAD ST
Camilla, GA 31730
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1821394271 (229) 336-5208
The Southeast Permanente Medical Group
289 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821
Piedmont Providers LLC
321 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500
Titus County Hospital District
451 mi
Medical Specialty
1002 TEXAS BLVD STE 400
Texarkana, TX 75501
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
NPI 1780494245 (903) 434-7071

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.
111 services88 patients
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.
94 services80 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
78 services61 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
61 services16 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
34 services31 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
28 services26 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers23 claims6,540 services$1.73 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier22 claims2,640 services$5.20 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.

CHARLES E CHAPLEAU M D NEUROSURGERY PLLC
Neurological Surgery
1717 N E ST, STE 422
PENSACOLA, FL 32501
Escambia County (850) 444-7050
INTERVENTIONAL RADIOLOGY CONSULTANTS, LLC
Radiologic Technologist (Vascular-Interventional Technology)
1717 N E ST, SUITE 423
PENSACOLA, FL 32501
Escambia County (850) 432-6851
DR. SUSAN J GAVIN PHARMD
Pharmacist
1717 N E ST, SUITE 102
PENSACOLA, FL 32501
Escambia County (850) 434-4549
GERMAN HERRERA MD
Internal Medicine (Hematology & Oncology)
1717 N E ST, SUITE 231
PENSACOLA, FL 32501
Escambia County (850) 469-7975
THE NEUROSURGICAL GROUP SISCO & TIPPETT CHAPLEAU & FRANK
Neurological Surgery
1717 N E ST, SUITE 422
PENSACOLA, FL 32501
Escambia County (850) 444-7050
HEATHER SUZANNE STEINLE AU.D.
Audiologist
1717 N E ST, SUITE 239
PENSACOLA, FL 32501
Escambia County (850) 432-3467
LAYNE R. YONEHIRO MD
Surgery
1717 N E ST, SUITE 533
PENSACOLA, FL 32501
Escambia County (850) 429-0102
DR. JOHN DAVID NYE M.D.
Surgery
1717 N E ST, SUITE 300
PENSACOLA, FL 32501
Escambia County (850) 444-4741

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 Daniel Ballow's NPI number?

The NPI number for Daniel Ballow is 1811280373. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Daniel Ballow located?

Daniel Ballow practices at 1717 N E St Suite 430, Pensacola, FL 32501. The listed phone number is (850) 437-8711.

What is Daniel Ballow's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Daniel Ballow enrolled in Medicare?

Yes. Daniel Ballow 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 Daniel Ballow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ballow reassigns Medicare benefits to 4 organizations: Phoebe Senior Center (Camilla, GA), The Southeast Permanente Medical Group (Atlanta, GA), Piedmont Providers LLC (Jasper, GA) and Titus County Hospital District (Texarkana, TX). 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 Daniel Ballow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Ballow accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Daniel Ballow 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.

Is Daniel Ballow affiliated with any hospitals?

According to CMS data, Daniel Ballow is affiliated with Phoebe Putney Memorial Hospital, Piedmont Newnan Hospital, Inc, Titus Regional Medical Center and De Tar Hospital Navarro.

When was this NPI record last updated?

The NPPES record for Daniel Ballow was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.