MR. ROBERT LEE BALLOU DMD
NPI 1891890679
Dentist - General Practice in Corbin, KY

Active since September 14, 2006PECOS Enrolled
109 N MAIN ST, CORBIN, KY 40701(606) 528-2350(606) 528-5507 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Robert Lee Ballou Dmd NPPES

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

MR. ROBERT LEE BALLOU DMD (NPI 1891890679) is an individual general practice provider in Corbin, Kentucky, licensed in Kentucky (3989) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891890679
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. ROBERT LEE BALLOUCredential: DMD
Location Address109 N MAIN STCorbin, KY 40701
Mailing Address109 N Main StCorbin, KY 40701 · (606) 528-2350 · Fax (606) 528-5507
Fax(606) 528-5507
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 10, 2008
NPI 1891890679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in KY · 3989
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 3989 (KY)
109 N MAIN ST, Corbin, KY 40701

Other Identifiers 4

Medicare UPIN447222KY
Medicare ID-Type Unspecified1569501
Other4240857TN · Tenn Care
Medicaid60039898KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Robert Lee Ballou Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 40701 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
109 N MAIN ST
CORBIN, KY 40701

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 Robert Ballou's NPI number?

The NPI number for Robert Ballou is 1891890679. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Robert Ballou located?

Robert Ballou practices at 109 N Main St, Corbin, KY 40701. The listed phone number is (606) 528-2350.

What is Robert Ballou's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Robert Ballou enrolled in Medicare?

Yes. Robert Ballou is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Ballou was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.