NPPES file of Aug 9, 2026

Gerard A. Ballanco, M.D.

Diagnostic Radiology Physician · Opelousas, LA

Gerard A. Ballanco, M.D. is a diagnostic radiology physician with a practice address in Opelousas, Louisiana, and NPI 1053330779, issued on Jul 19, 2006. Check the license (Louisiana 025645, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053330779
Name
Gerard A. Ballanco
Credential
M.D.
Primary taxonomy
Diagnostic Radiology Physician 2085R0202X
License number
025645 LA
Self-reported in NPPES; status is on the state search
Practice location
539 E Prudhomme St, Opelousas, LA 70570
Phone
(337) 942-6883
Enumerated
Jul 19, 2006
Record last updated
May 22, 2025
Fax
(337) 942-6830
Medicaid ID
1043184 LA
Medicare enrollment
Enrolled (PECOS I20041129000264); accepts Medicare assignment
Medical or professional school
Louisiana State University School Of Medicine In New Orleans, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 539 E Prudhomme St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brian Adams, M.D.Pediatrics Physician1487829685
  2. Carol Becker, MDDiagnostic Radiology Physician1639192578
  3. Kenneth Bergeron, CRNACertified Registered Nurse Anesthetist1508852187
  4. Olivia Besson, PA-CMedical Physician Assistant1639058688
  5. Nicholas Boies, NPNurse Practitioner1124659628
  6. Jeanette Bourgeois, CRNACertified Registered Nurse Anesthetist1922148154

Verify Gerard A. Ballanco in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
    Search for license 025645
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Louisiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 94.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score91.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $29.19

1 payment: food and beverage; the largest payer was Abbott Laboratories. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Gerard Ballanco$29.19
  2. Specialty average$2,488.38

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Acadiana Radiology GroupLafayette, LA
  2. Administrators OF The Tulane Educational FundNew Orleans, LA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Gerard A. Ballanco among 506 diagnostic radiology physician records in Louisiana

Gerard A. Ballanco, M.D. is one of 506 diagnostic radiology physician records with a practice address in Louisiana. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 17% of them.

  • NPI issued2006 · 17% of these records are older, 40% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2001 · median 2001 among the 351 with a school on file
  • Record last updated2025 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Diagnostic Radiology Physician providers in Louisiana

There are 506 diagnostic radiology physician records in Louisiana.

The 8 diagnostic radiology physician records with the nearest ZIP codes

  1. Carol Becker, MDOpelousas, LA 705701639192578
  2. Paula Sharkey, M.D.Opelousas, LA 705701578556783
  3. Calvin Vidrine, CRA RJ RNOpelousas, LA 705701639122195
  4. Edward WillettOpelousas, LA 705701902859762
  5. Jaime Boudreaux, M.D.New Iberia, LA 705601598799876
  6. David Fontenot, MDNew Iberia, LA 705601730129891
  7. John Lemieux, MDNew Iberia, LA 705601649210709
  8. Phillip Scurria, MDNew Iberia, LA 705601841245834

Common questions

What is Gerard A. Ballanco, M.D.'s NPI number?

Gerard A. Ballanco, M.D.'s National Provider Identifier (NPI) is 1053330779, issued on Jul 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Gerard A. Ballanco, M.D. located?

The NPPES record lists a practice address at 539 E Prudhomme St, Opelousas, LA, 70570. Phone: (337) 942-6883. Providers update this record themselves, so call before visiting.

How can I verify Gerard A. Ballanco, M.D.'s license?

NPPES lists Louisiana license number 025645, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Gerard A. Ballanco, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.