Ashton Ballinger, MD
NPI 1538666441 · Obstetrics & Gynecology Physician · Mattoon, IL
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ashton Ballinger, MD is a Obstetrics & Gynecology Physician provider in Mattoon, IL (NPI 1538666441).
Provider details
- NPI number
- 1538666441
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology 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 tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Estradiol | 16 |
| Valacyclovir Hclbrand: Valacyclovir | 15 |
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
- 2018-04-07
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Ashton Ballinger's NPI number?
- Ashton Ballinger's National Provider Identifier (NPI) is 1538666441, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ashton Ballinger's specialty?
- Ashton Ballinger is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Ashton Ballinger located?
- Ashton Ballinger's practice location on file with NPPES is 1000 Health Center Dr, Mattoon, IL 61938-4644.
- What is Ashton Ballinger's phone number?
- The practice phone number listed in the NPPES registry for Ashton Ballinger is (217) 238-4325.
- Does Ashton Ballinger accept Medicare?
- Ashton Ballinger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ashton Ballinger's NPI active?
- Yes — Ashton Ballinger's NPI (1538666441) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.