CMS-1500 Box 24J / 33a • NPI
1881614691
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208M00000X (CMS C6)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist
Box 32 Service Location & ZIP+4
489 STATE ST, BANGOR, ME, 04401-6616
✓ 9-Digit EDI 837 ZIP+4 (04401-6616)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1881614691 (LOREN Y BALLESTAS, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1881614691)
Medicare Beneficiaries
42
Total Billed Services
77
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$7,200.68
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 26 |
G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 32 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1881614691 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LOREN Y BALLESTAS, DO |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist NUCC Code: 208M00000X (Hospitalist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 489 STATE ST, BANGOR, ME, 04401-6616 |
| Practice Telephone / Fax | Tel: (207) 973-7000 | Fax: (207) 973-5042 |
| Administrative Mailing Address | 43 WHITING HILL RD, BREWER, ME, 04412-1005 |
| Enumeration & Last Sync | Enumerated: 2006-07-21 | CMS Record Updated: 2016-09-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208M00000X)
What Does Taxonomy Code 208M00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208M00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LOREN Y BALLESTAS, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208M00000X — HospitalistPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Hospitalist | State: ME | License: 1816 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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