MR. LAURENCE HAVENS BALLOU JR. MD
NPI 1962487306
Internal Medicine - Gastroenterology in Georgetown, SC
NPI Status: Active since December 08, 2005
Contact Information
1011 N FRASER ST
GEORGETOWN, SC
ZIP 29440
Phone: (843) 527-3428
Fax: (843) 546-8216
- Individual
- Male
- Internal Medicine
- Gastroenterology
- Medicare Quality Reporting
About LAURENCE BALLOU
This page provides the complete NPI Profile along with additional information for Laurence Ballou, an internist established in Georgetown, South Carolina with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1962487306 assigned on December 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 10488 (SC). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1962487306
- Provider Name
- MR. LAURENCE HAVENS BALLOU JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1011 N FRASER ST GEORGETOWN, SC 29440
- Location Phone
- (843) 527-3428
- Location Fax
- (843) 546-8216
- Mailing Address
- 1011 N FRASER ST GEORGETOWN, SC 29440
- Mailing Phone
- (843) 527-3428
- Mailing Fax
- (843) 546-8216
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-08-2005
- Last Update Date
- 01-15-2014
- Code Navigator
An internist like Laurence Ballou is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10488
- License State
- SC
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104880 | MEDICAID (05) | SC | |
| D05678 | MEDICARE UPIN (02) | ||
| D056785248 | MEDICARE ID-TYPE UNSPECIFIED (04) | SC |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 100% | 315 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement | Yes | N/A |
| Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan. | ||
| Colorectal Cancer Screening | 91% | 332 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Documentation of Current Medications in the Medical Record | 100% | 818 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 40% | 142 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 98% | 150 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 1% | 136 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 86% | 503 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 96% | 191 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide Patient Access | 91% | 136 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Secure Messaging | 38% | 136 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 8 | 7 | 3 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 8 | 14 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 8 + 1 + 4 + 3 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1962487306 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548213564 | WACCAMAW GASTROENTEROLOGY, PC Organization | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1720257983 | INLET CARDIOPULMONARY & ASSOCIATES Organization | Internal Medicine (Interventional Cardiology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 235-3131 |
| 1063497493 | MR. JOHN LESTER ORCHARD MD Individual | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1144216565 | GEORGE MICHAEL ORR M.D. Individual | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3425 |
| 1619283306 | GEORGETOWN GASTROENTEROLOGY, LLC Organization | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1093139420 | GEORGETOWN PHYSICIAN ASSOCIATES Organization | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1053817411 | ERICA KOUNS FNP-BC Individual | Nurse Practitioner (Family) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 692-1000 |
| 1487822730 | DR. PAUL WESLEY BENSON M.D. Individual | Internal Medicine (Gastroenterology) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1871093773 | BRIDGET MCDOWELL ORLANDI FNP-C Individual | Nurse Practitioner (Family) | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
| 1972547362 | MRS. AMY C SMITH APRN Individual | Nurse Practitioner | 1011 N FRASER ST GEORGETOWN, SC 29440 (843) 527-3428 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962487306, enumerated in the NPI registry as an "individual" on December 08, 2005
The provider is located at 1011 N Fraser St Georgetown, Sc 29440 and the phone number is (843) 527-3428
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 08, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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