Active NPI
Jason Scott Ballin, D.O.
- Dermatology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 34.012702
- Practice address
- 5300 Far Hills Ave
Dayton, OH 45429-2381 - Phone
- (937) 312-3820
- NPI assigned
- Dec 20, 2006
- Last updated
- Jul 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 111 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 3498 |
| Removal or shaving of skin growth | 1020 |
| Skin biopsy | 565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatologists of Southwestern Ohio, LLC. | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Michigan PC | Dermatology | Current | 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.
-
dba Dermatologists of Southwest Ohio, LLC
- Dermatology Physician
- Dayton, OH
- NPI 1801819883
-
- Dermatology Physician
- Wyandotte, MI
- NPI 1851708929
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.