Doctor profile · Federal record
Dr. Nicholas Ballay, MD
Surgery Physician (CMS: General Surgery) · Athens, TN
- NPI 1295093052
- Accepts Medicare
- 14 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
719 Cook Dr
Athens, TN 37303
(423) 745-2344
fax (423) 745-2314 - Additional location
-
304 Wright St Fl 3
Sweetwater, TN 378741181
(423) 252-0288 - Mailing address
-
3024 Business Park Cir
Goodlettsville, TN 370723132
Credentials & registration
- NPI registered
- April 2012 — 14 yrs on file
- Profile last updated
- July 19, 2023
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Tennessee #MD0000056407
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295093052. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
569
Distinct HCPCS
10
Medicare allowed
$79,747
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 148 | 107 | $117 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 95 | 76 | $83 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $151 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 49 | 48 | $73 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $103 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 37 | 37 | $163 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | 28 | $158 | |
47562 |
Removal of gallbladder using an endoscope | 25 | 25 | $594 | |
45384 |
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 24 | 24 | $185 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 19 | 13 | $74 |
In context: peer comparison
Among 2 peers in Athens Surgery Physician, average services per provider: 51. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Myriad Genetic Laboratories, INC. | 1 | $16.50 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
748
Patients
503
Total drug cost
$10,482
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 103 | 39 | $1,119 |
| Ondansetron Hcl | Generic | 95 | 89 | $428 |
| Pantoprazole Sodium | Generic | 88 | 23 | $617 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 82 | 67 | $427 |
| Promethazine Hcl | Generic | 82 | 80 | $255 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 76 | 73 | $444 |
| Famotidine | Generic | 53 | 26 | $365 |
| Lansoprazole | Generic | 37 | 0 | $871 |
| Doxycycline Hyclate | Generic | 27 | 26 | $344 |
| Azithromycin | Generic | 25 | 25 | $151 |
Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Ballay's medical specialty?
Dr. Nicholas Ballay practices Surgery Physician in Athens, TN.
Where does Dr. Nicholas Ballay practice?
Dr. Nicholas Ballay practices at 719 Cook Dr, Athens, TN 37303. Office phone: 4237452344.
What is Dr. Nicholas Ballay's NPI?
Dr. Nicholas Ballay's National Provider Identifier (NPI) is 1295093052, issued by NPPES.
Does Dr. Nicholas Ballay accept Medicare assignment?
Yes. Dr. Nicholas Ballay accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicholas Ballay commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.