npidexNPI registry + Medicare data

NICHOLAS BALLAY, MD

Surgery Physician · ATHENS, TN

Individual Active NPI 1295093052

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024258779$621,152$135,567$106,391
2023282887$840,868$170,533$134,658
2022249685$597,544$111,159$86,673

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more160$117$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more117$83$65
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more69$153$111
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope45$73$59
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes38$160$127
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery29$204$164
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more26$99$75
G0105Colorectal cancer screening; colonoscopy on individual at high risk21$161$161
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes13$120$96
45378Diagnostic exam of large bowel using a flexible endoscope12$138$112

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgery Physician208600000X✓MD0000056407TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Surgery Physician providers in Tennessee

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.