2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1164957114 D.O.
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JASON BALLENGEE, D.O.

Student in an Organized Health Care Education/Training Program in LEXINGTON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
137
Medicare Part D claims · 49 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$3.2K
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JASON BALLENGEE, D.O. reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 137 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
137
Part D claims, 2023
34%
generic prescribing
$3.2K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JASON BALLENGEE, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about JASON BALLENGEE, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 04/27/2017

NPI 1164957114

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

137 70% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Student in an Organized Health Care Education/Training Program compares to other specialties among Kentucky providers

Kentucky providers

Student in an Organized Health Care Education/Training Program share within Kentucky

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Kentucky

Medicare quality performance — MIPS

JASON BALLENGEE, D.O.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 90.3837/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JASON BALLENGEE, D.O. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding D.O. credentials at 1000 S LIMESTONE, LEXINGTON, KY, 40536, with a listed phone of (859) 323-9057. NPI 1164957114 was issued on 04/27/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLENGEE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 137 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $28K in drug spend, split 66% brand-name and 34% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1000 S LIMESTONE
LEXINGTON, KY 40536

Provider Details

NPI 1164957114
Specialty Student in an Organized Health Care Education/Training Program
Credentials D.O.
Gender Male
NPI Issued 04/27/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JASON BALLENGEE, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KENTUCKY MEDICAL SERVICES FOUNDATION, INC
LEXINGTON, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JASON BALLENGEE, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

INTUITIVE SURGICAL, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

JASON BALLENGEE, D.O. — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 137 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

137
Total Claims
$28K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
4,560
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$26K
Generic Drug Cost
$2K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.81
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JASON BALLENGEE, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
23
Ventolin Hfa
Albuterol Sulfate
16
Azithromycin
12
Prednisone
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Student in an Organized Health Care Education/Training Program Overview

How JASON BALLENGEE, D.O. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

JASON BALLENGEE, D.O.'s 137 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as BALLENGEE.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is JASON BALLENGEE, D.O.'s specialty?
JASON BALLENGEE, D.O. specializes in Student in an Organized Health Care Education/Training Program and practices in LEXINGTON, Kentucky. Credentials: D.O..
How much does JASON BALLENGEE, D.O. prescribe under Medicare Part D?
In 2023, JASON BALLENGEE, D.O. wrote 137 Medicare Part D claims totaling $28K in drug costs for 49 beneficiaries.
What is JASON BALLENGEE, D.O.'s Medicare quality score?
JASON BALLENGEE, D.O. has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JASON BALLENGEE, D.O. located?
JASON BALLENGEE, D.O. is located at 1000 S LIMESTONE, LEXINGTON, KY, 40536. Phone: (859) 323-9057.
What is JASON BALLENGEE, D.O.'s NPI number?
JASON BALLENGEE, D.O.'s National Provider Identifier (NPI) is 1164957114, issued on 04/27/2017.
Does JASON BALLENGEE, D.O. prescribe more brand-name or generic drugs?
JASON BALLENGEE, D.O.'s prescribing is 66% brand-name and 34% generic drugs by claim count, with $26K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does JASON BALLENGEE, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JASON BALLENGEE, D.O.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Ventolin Hfa, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JASON BALLENGEE, D.O. accept Medicare?
JASON BALLENGEE, D.O. appears in CMS Medicare data with 137 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JASON BALLENGEE, D.O.'s credentials?
JASON BALLENGEE, D.O.'s NPI is 1164957114 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology