Jennifer Ballinger, MD
NPI 1427599653 · Urology Physician · Pinehurst, NC
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Ballinger, MD is a Urology Physician provider in Pinehurst, NC (NPI 1427599653).
Provider details
- NPI number
- 1427599653
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 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
2,243 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 | 399 | $120 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 341 | $10 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 196 | $3 |
| 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 | 156 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 151 | $156 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Vibegronbrand: Gemtesa | 330 | 75 |
| Tamsulosin Hcl | 215 | 87 |
| Mirabegronbrand: Myrbetriq | 172 | 51 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 118 | 90 |
| Estradiol | 101 | 63 |
| Finasteride | 80 | 31 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,614 across 61 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
- 2017-03-20
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Frequently asked questions
- What is Jennifer Ballinger's NPI number?
- Jennifer Ballinger's National Provider Identifier (NPI) is 1427599653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Ballinger's specialty?
- Jennifer Ballinger is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Ballinger located?
- Jennifer Ballinger's practice location on file with NPPES is 5 First Village Dr, Pinehurst, NC 28374-9495.
- What is Jennifer Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Ballinger is (910) 295-6831.
- Does Jennifer Ballinger accept Medicare?
- Jennifer Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Ballinger's NPI active?
- Yes — Jennifer Ballinger's NPI (1427599653) is active in the NPPES registry as of the last update on 2022-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.