Paul Ballinger, MD
NPI 1407885890 · Gastroenterology Physician · Wenatchee, WA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Ballinger, MD is a Gastroenterology Physician provider in Wenatchee, WA (NPI 1407885890).
Provider details
- NPI number
- 1407885890
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00030682 (WA)
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
19 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
425 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) |
|---|---|---|
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 199 | $5 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 110 | $239 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 36 | $85 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 24 | $174 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Omeprazole | 13 |
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 no Part D record, 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Paul Ballinger's NPI number?
- Paul Ballinger's National Provider Identifier (NPI) is 1407885890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Ballinger's specialty?
- Paul Ballinger is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Ballinger located?
- Paul Ballinger's practice location on file with NPPES is 820 N Chelan Ave, Wenatchee, WA 98801-2028.
- What is Paul Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Paul Ballinger is (509) 663-8711.
- Does Paul Ballinger accept Medicare?
- Paul Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Ballinger's NPI active?
- Yes — Paul Ballinger's NPI (1407885890) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.