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Dr. Mitchell I Ballin , MD

Internal Medicine โ€ข Willoughby, OH

Active NPI 1104866565 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

36000 Euclid Ave
Willoughby, OH 440944625

Call 4409539600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

36000 Euclid Ave

Willoughby, OH 440944625

Telephone 4409539600
Organization at the Same NPPES Address or Phone
Lake Emergency Services Inc Facility NPI 1518927995

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Marlborough, MA; Worcester, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Hospital Medicine Services Of Maine Llc; Southwestern Vermont Medical Center, Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2001

Medicare patients

96 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,328 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,619 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ballin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ballin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Willoughby and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Internal Medicine in Willoughby, OH (2024, 18 clinicians with data). Median for this group: 829. Middle half: 622 to 1,485.

Fewer Medicare Part B services than 85% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: 574. Middle half: 262 to 1,043.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Willoughby, OH (2024, 18 clinicians with data). Median for this group: $57,062. Middle half: $37,855 to $118,427.

A lower Medicare-allowed amount than 85% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $50,782. Middle half: $23,884 to $83,638.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Internal Medicine in Willoughby, OH (2024, 18 clinicians with data). Median for this group: $41,611. Middle half: $26,472 to $91,912.

A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $37,953. Middle half: $17,413 to $63,670.

24 active clinicians are listed under Internal Medicine with a practice address in Willoughby, OH (5,283 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Willoughby

45.8% of these 24 clinicians have the CMS telehealth indicator.

75% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
58 58 $720.03 $161.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
34 18 $263.41 $73.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $420.63 $122.93

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-01-08
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OH 35084929

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2538936 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20230523000536

Enrollment State Jurisdiction

VT

PECOS Control ID

2668439449

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Hospital Medicine Services Of Maine Llc

57 Water St, Blue Hill, ME 046145231

Phone: 2073743400

Southwestern Vermont Medical Center, Inc

100 Hospital Dr, Bennington, VT 052015004

Phone: 8024426361

Secondary Practice Locations

157 Union St

Marlborough, MA 017521228

Phone: 5084865678

119 Belmont St

Worcester, MA 016052903

Phone: 5083348515

55 Lake Ave N

Worcester, MA 016550002

Phone: 5083348515

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

32 listed
Dr. Yuriy Babayev , MD

Radiology - Diagnostic Radiology

NPI 1841429727

Doctor of Medicine (M.D.)

Shannon Bailey , APRN

Nurse Practitioner - Family

NPI 1356709265

Advanced Practice Registered Nurse

Dr. Jennifer Bostick , DO

Internal Medicine

NPI 1144756248

Doctor of Osteopathic Medicine (D.O.)

Dr. George Butler , MD

Emergency Medicine

NPI 1447593769

Doctor of Medicine (M.D.)

James Czernicki , CAA

Anesthesiologist Assistant

NPI 1922598291
Kim Delisio , NP

Nurse Practitioner - Adult Health

NPI 1972737443

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address January 08, 2021

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

โœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 08, 2007

Registered at 36000 EUCLID AVE, WILLOUGHBY, OH 440944625 (Tel: 4409539600)

๐Ÿ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 2176 BELLFIELD AVE, CLEVELAND HEIGHTS, OH 441063124 (Tel: 2162315166)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MITCHELL BALLIN, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (license number reported to NPPES: OH 35084929)

๐ŸŸข
Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104866565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2006
Last Update: January 08, 2021
Sole Proprietor: Yes

Other Internal Medicine Providers in Willoughby

All Internal Medicine Providers in Willoughby

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.