Keith E. Ballinger, PA-C

  • Mattoon, IL
  • Urologist
NPI1114934759
Medicare services, 2024
1,351
Medicare patients, 2024
441
Part D claims, 2024
2,560
MIPS score, 2024
89
Hospital affiliations
1
Practice address
1000 Health Center Drive P O Box 372, Mattoon, IL 61938
Practice phone
Call (217) 258-2513
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Sarah Bush Lincoln Health Center

Hospital · Mattoon, Illinois

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Keith E. Ballinger is a urologist in Mattoon, Illinois

Keith Ballinger practices at Sarah Bush Lincoln Health Center in Mattoon, Illinois, part of Sarah Bush Lincoln Health System.

Keith Ballinger's NPI, 1114934759, was assigned on August 2, 2006. Keith Ballinger holds Illinois license 085001872.

NPI and contact details
NPI enumeration date
August 2, 2006
NPI status
Active
Practice phone
(217) 258-2513
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
50
Medical school graduation
2002

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Keith E. Ballinger practices at Sarah Bush Lincoln Health Center in Mattoon, Illinois

Keith Ballinger's primary practice is Sarah Bush Lincoln Health Center, at 1000 Health Center Drive P O Box 372, Mattoon, IL 61938 in Coles County. The practice phone is (217) 258-2513.

Source: Dmand AI Affiliation Data

Keith E. Ballinger is affiliated with 1 site of care and 1 medical group

Keith Ballinger's primary practice is Sarah Bush Lincoln Health Center in Mattoon, Illinois, part of Sarah Bush Lincoln Health System. The medical group on file is Sarah Bush Lincoln.

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Keith E. Ballinger's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Keith Ballinger practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Sarah Bush Lincoln Health CenterAvailable with a free account

Source: Dmand AI Technology Install Data

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Sarah Bush Lincoln Health System and 6.2K+ hospitals, with verified contacts in the same login.

Keith E. Ballinger is one of 513 urologists in Illinois

Urology is Keith Ballinger's primary specialty in the NPI Registry, under taxonomy code 208800000X. Keith Ballinger is licensed in Illinois.

Specialties and state licenses

  • Urology, IllinoisPrimaryLicense 085001872 · taxonomy 208800000X

Urologists near Keith Ballinger

Counts of urologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Keith E. Ballinger billed Medicare for 1,351 services in 2024

CMS data shows 1,351 Medicare services from Keith Ballinger across 10 procedure codes in 2024, for 441 Medicare patients. Medicare paid $48,970 for them.

Medicare services, 20241,351
Medicare patients441
Paid by Medicare$48,970
Procedure codes10

Keith Ballinger's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 6932024: 7295%
Surgery
2023: 4522024: 39313%
Other services
2023: 02024: 164
Lab and pathology
2023: 1972024: 6567%

Where Keith Ballinger's Medicare services took place, 2024

  • In an office38028%
  • In a facility97172%

Keith Ballinger compared with the Illinois median for urologists, 2024

  • Keith Ballinger
  • Illinois median
Medicare services
1,351vs 1,323Close to median
Medicare patients
441vs 49010% below
Part D claims
2,474vs 3586.9 times

Medians across 498 urologists in Illinois with Dmand AI profiles that report each measure.

Keith Ballinger's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Keith Ballinger

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Keith E. Ballinger treated 441 Medicare patients in 2024, average age 74

CMS counts 441 Medicare patients who saw Keith Ballinger in 2024. The largest group is 65 to 74, with 229 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 19% are also on Medicaid. Their average risk score is 1.32, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Keith Ballinger's median patient age at 75, with 34% women.

Medicare patients, 2024441
Average age74
Average risk score1.32
Also on Medicaid19%

Keith Ballinger's Medicare patients by age, 2024

Keith Ballinger's Medicare patients by sex, 2024

  • Women9121%
  • Men35079%

Chronic conditions among Keith Ballinger's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis55%
  4. Ischemic heart disease37%
  5. Diabetes36%
  6. Chronic kidney disease28%
  7. Heart failure24%
  8. Anxiety23%

Share of Medicare patients with each condition. A patient can have several.

Keith Ballinger's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women34%
  • Men66%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Keith E. Ballinger wrote 2,560 Medicare Part D claims in 2024

In 2024, Keith Ballinger wrote 2,560 Medicare Part D claims for 532 patients. 97% of them were for generic drugs. CMS names the drug for 2,474 of them, across 22 drugs with 11 or more claims each, at $113,787 in total drug cost. In 2023, CMS named 1,877 claims across 30 drugs.

Part D claims, 20242,560
Drugs named by CMS22
Total drug cost$113,787
Part D patients532

Keith Ballinger's Part D claims by kind of drug, 2024

  • Generic2,471 claims97%
  • Brand-name and other89 claims3%

Keith Ballinger's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Keith Ballinger's Part D claims, 2024

  • Antibiotics8%212 of 2,560 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,8772024: 2,47432%

Drugs named by CMS: 22 in 2024, 30 in 2023.

See all prescribing by Keith Ballinger

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Keith E. Ballinger scored 89 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Keith Ballinger for performance year 2024, reported through an alternative payment model (APM).

Keith Ballinger's MIPS scores, performance year 2024

  • 89of 100Final score
  • 69.5of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Keith E. Ballinger received $4,861 in industry payments from 2021 to 2025

CMS Open Payments shows 94 general payments to Keith Ballinger from 26 drug and device companies from 2021 to 2025. Travel and lodging make up the largest share, 56% of the total. Medtronic, Inc. paid the most, $3,315.

General payments to Keith Ballinger by program year, 2021 to 2025

General payments to Keith Ballinger by kind, 2021 to 2025

$4.9Kin total
  • Travel and lodging$2,69956%
  • Food and beverage$1,96740%
  • Education$1944%

Companies that paid Keith Ballinger the most, 2021 to 2025

Share is of all general payments to this clinician.

See all payments to Keith Ballinger

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Keith E. Ballinger's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Keith E. Ballinger

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Keith E. Ballinger's NPI number?

Keith E. Ballinger's NPI number is 1114934759. It was assigned on August 2, 2006, and it is active in the NPI Registry.

What does Keith E. Ballinger specialize in?

Keith E. Ballinger is a urologist in Mattoon, Illinois. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).

Where does Keith E. Ballinger practice?

Keith Ballinger practices at 1000 Health Center Drive P O Box 372, Mattoon, IL 61938. Keith Ballinger's primary practice is Sarah Bush Lincoln Health Center in Mattoon, Illinois, part of Sarah Bush Lincoln Health System.

What is Keith E. Ballinger's office phone number?

The practice phone on file for Keith Ballinger is (217) 258-2513.

What is Keith E. Ballinger's medical license number?

Keith Ballinger holds Illinois license 085001872.

Which hospitals is Keith E. Ballinger affiliated with?

Keith Ballinger practices at Sarah Bush Lincoln Health Center in Mattoon, Illinois.

What medical group is Keith E. Ballinger part of?

Keith Ballinger is linked to Sarah Bush Lincoln.

Does Keith E. Ballinger accept Medicare?

Yes. CMS data shows Keith Ballinger billed Medicare for 1,351 services in 2024.

What is Keith E. Ballinger's MIPS score?

Keith Ballinger's MIPS final score for performance year 2024 is 89 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Keith E. Ballinger see?

CMS counts 441 Medicare patients who saw Keith Ballinger in 2024, with an average age of 74.

Show 4 more questionsShow fewer questions

What services does Keith E. Ballinger bill to Medicare?

In 2024, Keith Ballinger's most billed Medicare services were office visit, established patient (99214), surgery: urinary system (51741) and medicare service (G2211).

What drugs does Keith E. Ballinger prescribe most?

In 2024 Medicare Part D data, Keith Ballinger's most prescribed drugs by claims were Tamsulosin HCl, Finasteride and Alfuzosin HCl ER.

Has Keith E. Ballinger received payments from drug or device companies?

CMS Open Payments shows $4,861 in general payments to Keith Ballinger from 26 companies from 2021 to 2025. The largest total came from Medtronic, Inc.

How long has Keith E. Ballinger been practicing?

Keith Ballinger graduated from medical school in 2002, 24 years ago.

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