Nicholas Ballinger
NPI 1235894106 · Physician Assistant · Nashville, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Ballinger is a Physician Assistant provider in Nashville, TN (NPI 1235894106).
Provider details
- NPI number
- 1235894106
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4924 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
39 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 Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 22 | $102 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $135 |
Typical Medicare-allowed amounts for these services range $102–$135 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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
Additional practice locations (1)
- 2313 Patrick AveOld Hickory, TN 37138-2962Phone: (443) 974-6183
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Frequently asked questions
- What is Nicholas Ballinger's NPI number?
- Nicholas Ballinger's National Provider Identifier (NPI) is 1235894106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Ballinger's specialty?
- Nicholas Ballinger is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicholas Ballinger located?
- Nicholas Ballinger's practice location on file with NPPES is 3601 the Vanderbilt Clinic, Nashville, TN 37232-2962.
- What is Nicholas Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Ballinger is (615) 936-2000.
- Does Nicholas Ballinger accept Medicare?
- Nicholas Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Ballinger's NPI active?
- Yes — Nicholas Ballinger's NPI (1235894106) is active in the NPPES registry as of the last update on 2022-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.