Debra Ballares, FNP
NPI 1427756238 · Family Nurse Practitioner · Summerville, SC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Debra Ballares, FNP is a Family Nurse Practitioner provider in Summerville, SC (NPI 1427756238).
Provider details
- NPI number
- 1427756238
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 26949 (SC)
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 tenure25% of score
3 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
253 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 132 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $98 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 31 | $44 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $133 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 25 | $103 |
Typical Medicare-allowed amounts for these services range $44–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 73 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 295 | 111 |
| Levothyroxine Sodium | 218 | 87 |
| Amlodipine Besylate | 195 | 77 |
| Losartan Potassium | 124 | 49 |
| Hydrochlorothiazide | 115 | 44 |
| Omeprazole | 113 | 44 |
| Simvastatin | 88 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$279 across 3 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
- 2023-02-21
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Frequently asked questions
- What is Debra Ballares's NPI number?
- Debra Ballares's National Provider Identifier (NPI) is 1427756238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Debra Ballares's specialty?
- Debra Ballares is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Debra Ballares located?
- Debra Ballares's practice location on file with NPPES is 1268 Nexton Pkwy Ste 104, Summerville, SC 29486-2167.
- What is Debra Ballares's phone number?
- The practice phone number listed in the NPPES registry for Debra Ballares is (843) 212-8080.
- Does Debra Ballares accept Medicare?
- Debra Ballares is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Debra Ballares's NPI active?
- Yes — Debra Ballares's NPI (1427756238) is active in the NPPES registry as of the last update on 2026-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.