Doctor profile · Federal record
Dr. Thomas Ballenger, MSPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Physical Therapist · Rising Sun, MD
- NPI 1174569511
- Accepts Medicare
- MIPS 94.4 / 100 · 2023
- 23 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
52 Rising Sun Town Ctr
Rising Sun, MD 219111902
(410) 658-0100
fax (410) 658-0199 - Mailing address
-
2001 Butterfield RD Ste 1600
Downers Grove, IL 605151211
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- January 17, 2025
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Maryland #20892 · Delaware #J10001666
- Medicaid
- DE #1174569511
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174569511. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
5,299
Distinct HCPCS
7
Medicare allowed
$141,832
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 2,067 | 175 | $33 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,387 | 166 | $22 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 1,049 | 142 | $20 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 349 | 60 | $25 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 252 | 30 | $9 | |
97163 |
Evaluation for physical therapy, typically 45 minutes | 100 | 90 | $103 | |
97113 |
Therapy procedure using water pool to exercises, each 15 minutes | 95 | 13 | $26 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 757. This provider delivers 7.0× the peer median.Frequently asked questions
What is Dr. Thomas Ballenger's medical specialty?
Dr. Thomas Ballenger practices Physical Therapist in Rising Sun, MD.
Where does Dr. Thomas Ballenger practice?
Dr. Thomas Ballenger practices at 52 Rising Sun Town Ctr, Rising Sun, MD 219111902. Office phone: 4106580100.
What is Dr. Thomas Ballenger's NPI?
Dr. Thomas Ballenger's National Provider Identifier (NPI) is 1174569511, issued by NPPES.
Does Dr. Thomas Ballenger accept Medicare assignment?
Yes. Dr. Thomas Ballenger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Thomas Ballenger commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using manual technique (HCPCS 97140). Source: CMS Medicare Physician & Other Practitioners file.