Cole Ballinger, PA-C
NPI 1275224388 · Physician Assistant · Portland, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cole Ballinger, PA-C is a Physician Assistant provider in Portland, OR (NPI 1275224388).
Provider details
- NPI number
- 1275224388
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
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
3 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
169 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) |
|---|---|---|
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 45 | $37 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 23 | $30 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 22 | $90 |
| Fusion of Additional Segment of Spine22614 | 18 | $56 |
| Fusion of Lower Spine Bone Through Abdomen With Partial Removal of Disc22558 | 17 | $217 |
| Fusion of Spine Bones Through Front of Body With Partial Removal of Disc, Each Additional Disc22585 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 61 | 42 |
| Naproxen | 35 | 30 |
| Tranexamic Acid | 23 | 22 |
| Cephalexin | 19 | 17 |
| Methylprednisolone | 15 | 14 |
| Tramadol Hcl | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$57 across 2 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
- 2023-05-18
- Last updated
- 2024-09-23
- Certified
- 2024-09-23
Frequently asked questions
- What is Cole Ballinger's NPI number?
- Cole Ballinger's National Provider Identifier (NPI) is 1275224388, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cole Ballinger's specialty?
- Cole Ballinger is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cole Ballinger located?
- Cole Ballinger's practice location on file with NPPES is 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956.
- What is Cole Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Cole Ballinger is (503) 231-1426.
- Does Cole Ballinger accept Medicare?
- Cole Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Cole Ballinger's NPI active?
- Yes — Cole Ballinger's NPI (1275224388) is active in the NPPES registry as of the last update on 2024-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.