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

DR. KENNETH A. BALLOU M.D.
NPI 1831145374
Family Medicine in Redlands, CA

Q: What is Kenneth Ballou's NPI number?

The NPI number for Kenneth Ballou is 1831145374. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Kenneth Ballou's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Ballou was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

2 W FERN AVE, REDLANDS, CA 92373(909) 793-3311(909) 796-4158 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kenneth A. Ballou M.d. NPPES

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

DR. KENNETH A. BALLOU M.D. (NPI 1831145374) is an individual family medicine provider in Redlands, California, licensed in California (G85841) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1831145374

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH A. BALLOUCredential: M.D.

Location Address2 W FERN AVERedlands, CA 92373-5916

Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188 · Fax (909) 478-3644

Phone(909) 793-3311

Fax(909) 796-4158

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1993

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1831145374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G85841

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 W FERN AVE, Redlands, CA 92373

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Other Identifiers 1

MedicaidOOG858410CA

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

Dr. Kenneth A. Ballou 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 ID3476617713

PECOS Enrollment IDI20090130000429

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 92373 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$14.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$68.99 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.

CYNTHIA L PACHECO AGACNP

Nurse Practitioner (Acute Care)