Daniel Ballantine, DO
NPI 1063703130 · Internal Medicine Physician · West Reading, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Ballantine, DO is a Internal Medicine Physician provider in West Reading, PA (NPI 1063703130).
Provider details
- NPI number
- 1063703130
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- OT013969 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
468 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 377 | $174 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 43 | $31 |
| Critical Care, First 30-74 Minutes99291 | 21 | $217 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $134 |
| Initial Hospital Care With Same-Day Admission and Discharge With High Level of Medical Decision Making, Per Day, If Using Time, at Least 85 Minutes99236 | 13 | $198 |
Typical Medicare-allowed amounts for these services range $31–$217 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-25
- Last updated
- 2014-11-17
Frequently asked questions
- What is Daniel Ballantine's NPI number?
- Daniel Ballantine's National Provider Identifier (NPI) is 1063703130, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Ballantine's specialty?
- Daniel Ballantine is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Daniel Ballantine located?
- Daniel Ballantine's practice location on file with NPPES is 6th Ave and Spruce Street, West Reading, PA 19611-1428.
- What is Daniel Ballantine's phone number?
- The practice phone number listed in the NPPES registry for Daniel Ballantine is (610) 988-5455.
- Does Daniel Ballantine accept Medicare?
- Daniel Ballantine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Ballantine's NPI active?
- Yes — Daniel Ballantine's NPI (1063703130) is active in the NPPES registry as of the last update on 2014-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.