Nicholas Ballay, MD
NPI 1295093052ActiveIndividual· Surgery· Athens, TN
Surgery (MD) with Advanced Diagnostic Imaging PC, practicing in Athens, Tennessee. 258 Medicare patients in 2024, $106,391 paid; nearly all of their 820 Part D prescriptions were generic (97%). Medtronic, Inc. was the largest of 2 companies reporting payments in 2025, $67.28 in all, mostly food and beverage. Lists Starr Regional Medical Center Athens and 1 other hospital as hospital affiliations.
Overview
| NPI | 1295093052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 30, 2012 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD0000056407 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 258 |
|---|---|
| Services billed | 779 across 127 procedure codes |
| Paid by Medicare | $106,391 |
Part D prescriptions in 2024
| Prescriptions (claims) | 820 · 1,004 30-day fills |
|---|---|
| Patients | 269 |
| Total drug cost | $15,032 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Advanced Diagnostic Imaging PCGoodlettsville, TN · 523 clinicians
Hospital affiliations
- Starr Regional Medical Center AthensAthens, TN
- Sweetwater Hospital AssociationSweetwater, TN
Industry payments (Open Payments)
- 2025$67.28 · 3 payments from 2 companies
- 2024$16.50 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $51.91 | 2 |
| Glaxosmithkline, LLC. | $15.37 | 1 |
What the 2025 payments were for
- Food and Beverage$67.28 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Athens
- 1366655490
- 1306806112
- 1417917212
- 1609835115