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NICOLE BALLA PA-C
NPI 1841618618
Physician Assistant in Lexington, KY

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
89.82/100
CMS Quality Rating
1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6026 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicole Balla Pa-c NPPES

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

NICOLE BALLA PA-C (NPI 1841618618) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA1864) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Kentucky College Of Medicine (2013).

NPPES Registry Identity

NPI1841618618
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BALLACredential: PA-C
Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431
Mailing Address1740 Nicholasville RdLexington, KY 40503-1431 · (859) 260-6026
Phone(859) 260-6026
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2013
Enumeration DateMarch 31, 2014
Last NPPES UpdateMarch 8, 2018
✔ NPI 1841618618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA1864
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1740 NICHOLASVILLE RD, Lexington, KY 40503
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Accepted Insurance

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

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

Nicole Balla Pa-c 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 ID6305165051
PECOS Enrollment IDI20150501000889
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.

Areas of Expertise CMS Part B claims 6

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
301 services301 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
86 services82 patients
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
39 services37 patients
Single contrast x-ray of large intestine 74270
A single contrast x-ray of the large intestine involves the use of a special dye and x-rays to visualize your large intestine. The dye helps highlight areas of concern on the x-ray, providing a clear image of your intestinal health.
20 services19 patients
Dxa bone density measurement of forearm, finger, hand, or foot 77081
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
16 services16 patients
X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

89.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.92
Improvement Activities40
Cost71.7

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.

MR. JAMES RANSOM ADAIR PA-C
Physician Assistant
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 277-8179
MR. DANNY LEE PERRY
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6659
TYLER BENNETT MCLAURINE
Hospitalist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
KENTUCKY BREAST IMAGING PLLC
Radiology (Diagnostic Radiology)
1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503
Fayette County (877) 459-2290
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6104
JOSHUA ADAM WIRTH
Nurse Practitioner (Family)
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6348
PHILIP FIELDS PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6633
DR. LAYLA MAREFAT PHARMD
Pharmacist
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503
Fayette County (859) 260-6100

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 Nicole Balla's NPI number?

The NPI number for Nicole Balla is 1841618618. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Nicole Balla located?

Nicole Balla practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6026.

What is Nicole Balla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Balla enrolled in Medicare?

Yes. Nicole Balla 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.

What insurance does Nicole Balla accept?

Health plans from CareSource list Nicole Balla 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 Nicole Balla affiliated with any hospitals?

According to CMS data, Nicole Balla is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Nicole Balla was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.