Keith Ballinger, PA C
NPI 1114934759 · Urology Physician · Mattoon, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Ballinger, PA C is a Urology Physician provider in Mattoon, IL (NPI 1114934759).
Provider details
- NPI number
- 1114934759
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- 085001872 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,351 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 426 | $82 |
| Electronic Assessment of Bladder Emptying51741 | 181 | $7 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 142 | $14 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 137 | $93 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 92 | $122 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 882 | 296 |
| Finasteride | 740 | 231 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 178 | 63 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 87 | 69 |
| Methenamine Hippurate | 86 | 30 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 85 | 21 |
| Mirabegronbrand: Myrbetriq |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$356 across 20 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Frequently asked questions
- What is Keith Ballinger's NPI number?
- Keith Ballinger's National Provider Identifier (NPI) is 1114934759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Ballinger's specialty?
- Keith Ballinger is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Keith Ballinger located?
- Keith Ballinger's practice location on file with NPPES is 1000 Health Center Dr Ste 305, Mattoon, IL 61938-4644.
- What is Keith Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Keith Ballinger is (217) 258-4186.
- Does Keith Ballinger accept Medicare?
- Keith Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Ballinger's NPI active?
- Yes — Keith Ballinger's NPI (1114934759) is active in the NPPES registry as of the last update on 2024-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.