Keith E. Ballinger, PA C
Urology Physician · Mattoon, IL
Keith E. Ballinger, PA C is a urology physician with a practice address in Mattoon, Illinois, and NPI 1114934759, issued on Aug 2, 2006. Check the license (Illinois 085001872, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Keith E. Ballinger
- Credential
- PA C
- Primary taxonomy
- Urology Physician 208800000X
- License number
- 085001872 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1000 Health Center Dr Ste 305, Mattoon, IL 61938
- Phone
- (217) 258-4186
- Enumerated
- Aug 2, 2006
- Record last updated
- Oct 22, 2024
- Fax
- (217) 348-4185
- Medicare enrollment
- Enrolled (PECOS I20040506000542); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest urology physician records → All 629 in Illinois → Look up another NPI →
Also registered at 1000 Health Center Dr Ste 305
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Didomenico, MD DOUrology Physician1740297803
- Julia Fiuk, MDUrology Physician1124467097
- Jodi Morrisey, APNNurse Practitioner1487948303
Verify Keith E. Ballinger in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 085001872Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% more Medicare Part D claims than the average urology physician in 2024
2,560 Medicare Part D claims for 532 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D.
Most prescribed
- Tamsulosin Hcl882 claims
- Finasteride740 claims
- Alfuzosin Hcl Er178 claims
- Sulfamethoxazole-Trimethoprim87 claims
- Methenamine Hippurate86 claims
- Oxybutynin Chloride Er85 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $356.43
20 payments; by number, the most common kind was food and beverage; the largest payer was Sumitomo Pharma America, Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Sarah Bush Lincoln Health CenterMattoon, IL · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Keith E. Ballinger among 629 urology physician records in Illinois
Keith E. Ballinger, PA C is one of 629 urology physician records with a practice address in Illinois. 76% 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 7% of them.
- NPI issued2006 · 7% of these records are older, 54% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2002 · median 2002 among the 341 with a school on file
- Record last updated2024 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Illinois
There are 629 urology physician records in Illinois.
All 629 in Illinois → Every provider in Mattoon → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- David Didomenico, MD DOMattoon, IL 619381740297803
- Julia Fiuk, MDMattoon, IL 619381124467097
- Roger Rives, MDMattoon, IL 619381861416372
- Soo Cho, M.D.Alton, IL 620021740227784
- Michael Emmerling, MDAlton, IL 620021841810454
- Narayan Amin, M.D.Danville, IL 618321043317357
- Sebastian Ciancio, M.DDanville, IL 618321891893525
- Robert Childers, MDJerseyville, IL 620521760477376
Common questions
What is Keith E. Ballinger, PA C's NPI number?
Keith E. Ballinger, PA C's National Provider Identifier (NPI) is 1114934759, issued on Aug 2, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Keith E. Ballinger, PA C located?
The NPPES record lists a practice address at 1000 Health Center Dr Ste 305, Mattoon, IL, 61938. Phone: (217) 258-4186. Providers update this record themselves, so call before visiting.
How can I verify Keith E. Ballinger, PA C's license?
NPPES lists Illinois license number 085001872, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Keith E. Ballinger, PA C prescribe under Medicare Part D?
In 2024, Keith E. Ballinger, PA C had 2,560 Medicare Part D claims for 532 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is Keith E. Ballinger, PA C's MIPS final score?
The 2023 MIPS final score is 95 of 100. 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.