Individual provider Active NPI

Jason Scott Ballin, D.O.

  • Dermatology Physician
  • Dayton, OH
National Provider Identifier
1235293820
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34.012702 Issued in OH
Practice address
5300 Far Hills Ave
Dayton, OH 45429-2381
Phone
(937) 312-3820
NPI assigned
Dec 20, 2006
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34.012702 OH Primary

Addresses

Primary practice location

5300 Far Hills Ave
Dayton, OH 45429-2381

Mailing address

45 Stanfield Rd.
Troy, OH 45373-2366
Phone (937) 339-8380

Other practice location 1

4020 Copper Vw Ste 130
Traverse City, MI 49684-7041
Phone (231) 941-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170627003180 OH Practitioner - Dermatology 2466721949 Reassigns benefits to 1 organization
I20250726000128 MI Practitioner - Dermatology 2466721949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

4020 Copper VW
Suite 130
Traverse City, MI 49684-7041
Phone (231) 941-4114

45 S Stanfield Rd
Troy, OH 45373-2366
Phone (937) 339-8380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision111
Removal of tissue1-10
Removal of skin lesions3498
Removal or shaving of skin growth1020
Skin biopsy565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Jun 1, 2017 Accepting new patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

4170 Cedar Bluff Dr
Petoskey, MI 49770
Phone 2314876700 ext. 208

4020 Copper Vw
Ste 130
Traverse City, MI 49684
Phone (231) 941-4114

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

7835 Paragon Rd
Dayton, OH 45459
Phone (937) 434-2351

9000 N Main St
Ste 321
Englewood, OH 45415
Phone (937) 641-9324

45 S Stanfield Rd
Troy, OH 45373
Phone (937) 339-8380

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1235293820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STANFIELD RD.",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732366",
            "telephone_number": "937-339-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292381",
            "telephone_number": "937-312-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Copper Vw Ste 130",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847041",
            "country_code": "US",
            "telephone_number": "231-941-4114",
            "fax_number": "231-941-0878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLIN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34.012702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.