2026 NPPES data Otolaryngology Physician NPI 1174571749 M.D.
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PHILLIP BALLINGER, M.D.

Otolaryngology Physician in CONWAY, Arkansas. 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
169
Medicare Part D claims · 88 beneficiaries · Otolaryngology Physician avg: 509
What the federal data reveals: PHILLIP BALLINGER, M.D. is a Otolaryngology Physician ([object Object]) practicing in CONWAY, Arkansas with a Medicare Part D prescribing footprint of 169 claims across 88 beneficiaries .

What stands out: PHILLIP BALLINGER, M.D. filed 169 Medicare Part D claims in 2023 across CONWAY, Arkansas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PHILLIP BALLINGER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PHILLIP BALLINGER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/05/2006

NPI 1174571749

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

169 67% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Arkansas

How Otolaryngology Physician compares to other specialties among Arkansas providers

Arkansas providers

Otolaryngology Physician share within Arkansas

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Arkansas

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

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).

PHILLIP BALLINGER, M.D. is a Otolaryngology Physician provider practicing in CONWAY, Arkansas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1174571749. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PHILLIP BALLINGER, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 525 WESTERN AVE STE 302A, CONWAY, AR, 72034, with a listed phone of (501) 205-8095. NPI 1174571749 was issued on 05/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLINGER 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 169 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $4K in drug spend. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

525 WESTERN AVE STE 302A
CONWAY, AR 72034

Provider Details

NPI 1174571749
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 05/05/2006

Hospital and facility affiliations

Facilities where PHILLIP BALLINGER, M.D. 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.

CONWAY REGIONAL MEDICAL CENTER INC
CONWAY, AR

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

Medicare Part D Prescribing Data

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

169
Total Claims
$4K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
250
Total Day Supply
5,750
Brand Drug Cost
$0
Generic Drug Cost
$4K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.03
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ipratropium Bromide
33
Doxycycline Hyclate
31
Prednisone
22
Montelukast Sodium
20
Fluticasone Propionate
13

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

Otolaryngology Physician Overview

How PHILLIP BALLINGER, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

PHILLIP BALLINGER, M.D.'s 169 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Arkansas

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PHILLIP BALLINGER, M.D.'s specialty?
PHILLIP BALLINGER, M.D. specializes in Otolaryngology Physician and practices in CONWAY, Arkansas. Credentials: M.D..
How much does PHILLIP BALLINGER, M.D. prescribe under Medicare Part D?
In 2023, PHILLIP BALLINGER, M.D. wrote 169 Medicare Part D claims totaling $4K in drug costs for 88 beneficiaries.
Where is PHILLIP BALLINGER, M.D. located?
PHILLIP BALLINGER, M.D. is located at 525 WESTERN AVE STE 302A, CONWAY, AR, 72034. Phone: (501) 205-8095.
What is PHILLIP BALLINGER, M.D.'s NPI number?
PHILLIP BALLINGER, M.D.'s National Provider Identifier (NPI) is 1174571749, issued on 05/05/2006.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does PHILLIP BALLINGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PHILLIP BALLINGER, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Doxycycline Hyclate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILLIP BALLINGER, M.D. accept Medicare?
PHILLIP BALLINGER, M.D. appears in CMS Medicare data with 169 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILLIP BALLINGER, M.D.'s credentials?
PHILLIP BALLINGER, M.D.'s NPI is 1174571749 with credentials M.D.. 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.
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