MR. ROBERT BALLOUGH P.A.
NPI 1851551972
Physician Assistant - Medical in East Hartford, CT

Q: What is Robert Ballough's NPI number?

The NPI number for Robert Ballough is 1851551972. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Q: What is Robert Ballough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ballough was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment

94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108(860) 528-1359 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Robert Ballough P.a. NPPES

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

MR. ROBERT BALLOUGH P.A. (NPI 1851551972) is an individual medical provider in East Hartford, Connecticut, licensed in Connecticut (002079) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851551972

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. ROBERT BALLOUGHCredential: P.A.

Location Address94 CONNECTICUT BLVDEast Hartford, CT 06108-3013

Mailing Address4 Farm CtWallingford, CT 06492-3251 · (203) 376-1863

Phone(860) 528-1359

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 12, 2008

Last NPPES UpdateApril 30, 2024

NPPES CertifiedApril 30, 2024

✔ NPI 1851551972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CT · 002079

94 CONNECTICUT BLVD, East Hartford, CT 06108

Open in Google Maps ↗

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

Mr. Robert Ballough P.a. 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 ID3476789181

PECOS Enrollment IDI20131129000004

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 3

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 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.

41 services37 patients

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.

35 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers25 claims46 services$5.02 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims15 services$0.90 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$3.01 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$4.06 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.

MORGAN PRINGNITZ PA-C

Physician Assistant