Nina Theresa Ballone, MD
Psychosomatic Medicine Physician · Washington, DC
Nina Theresa Ballone, MD is a psychosomatic medicine physician with a practice address in Washington, District of Columbia, and NPI 1619321171, issued on Apr 20, 2016. Check the license (District of Columbia MD210002305, as entered in NPPES) on the District of Columbia Board of Medicine; the Medicare figures below come from public CMS files.
- Name
- Nina Theresa Ballone
- Credential
- MD
- Primary taxonomy
- Psychosomatic Medicine Physician 2084P0015X
- License numbers
- MD210002305 DC
D0094839 MD
MD466075 PA
0101268870 VA
Self-reported in NPPES; status is on the state search - Practice location
- 5255 Loughboro RD NW, Washington, DC 20016
- Phone
- (202) 660-5225
- Enumerated
- Apr 20, 2016
- Record last updated
- Sep 27, 2022
- Fax
- (202) 537-4737
- Medicare enrollment
- Enrolled (PECOS I20210809000119); may accept Medicare assignment
- Medical or professional school
- Northeastern Ohio University College Of Medicine, 2016
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychosomatic medicine physician records → All 10 in District of Columbia → Look up another NPI →
Also registered at 5255 Loughboro RD NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Nina Theresa Ballone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersDistrict of Columbia Board of Medicine
Search for license MD210002305Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
95% fewer Medicare Part D claims than the average psychosomatic medicine physician in 2024
29 Medicare Part D claims, against an average of 537 among the 196 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of 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 practice group's MIPS final score for 2023 (Medicare payment program): 74.4 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Johns Hopkins UniversityWashington, DC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nina Theresa Ballone among 10 psychosomatic medicine physician records in District of Columbia
Nina Theresa Ballone, MD is one of 10 psychosomatic medicine physician records with a practice address in District of Columbia. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 90% of them.
- NPI issued2016 · 90% of these records are older, 0% newer
- In a Medicare fileYes · 60% of these records are
- In the CMS Doctors and Clinicians fileYes · 20% of these records are
- Record last updated2022 · 70% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0015X and a District of Columbia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychosomatic Medicine Physician providers in District of Columbia
There are 10 psychosomatic medicine physician records in District of Columbia.
All 10 in District of Columbia → Every provider in Washington → Psychosomatic Medicine Physician nationwide →
The 8 psychosomatic medicine physician records with the nearest ZIP codes
- Deyadira Baez-Sierra, MDWashington, DC 200091467661454
- Leslie Goransson, MDWashington, DC 200061912114851
- Anne Ruminjo, M.D. MPHWashington, DC 200051326297995
- Joseph Tarantolo, M.D.Washington, DC 200031558584631
- Nyota Pieh, M.D.Washington, DC 200021760703466
- Syed Zaidi, MDWashington, DC 200321629260062
- Peter Leong, M.DWashington, DC 204221841446580
- Laura Brogoch, M.D.Washington, DC 205221548527492
Common questions
What is Nina Theresa Ballone, MD's NPI number?
Nina Theresa Ballone, MD's National Provider Identifier (NPI) is 1619321171, issued on Apr 20, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Nina Theresa Ballone, MD located?
The NPPES record lists a practice address at 5255 Loughboro RD NW, Washington, DC, 20016. Phone: (202) 660-5225. Providers update this record themselves, so call before visiting.
How can I verify Nina Theresa Ballone, MD's license?
NPPES lists District of Columbia license number MD210002305, as entered by the provider. Search the District of Columbia Board of Medicine at https://dchealth.dc.gov/bomed. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nina Theresa Ballone, MD prescribe under Medicare Part D?
In 2024, Nina Theresa Ballone, MD had 29 Medicare Part D claims; the average among psychosomatic medicine physician prescribers was 537. Part D covers Medicare prescriptions only.
What is Nina Theresa Ballone, MD's MIPS final score?
The 2023 MIPS final score is 74.4 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.