Provider profile

Debra BallaresFNP

Nurse Practitioner, Family

NPI 1427756238
1161 Cook Rd, Orangeburg, SC 29118803-395-4600

Check your plan

Medicare Advantage plans for Orangeburg County, SC.

Checked Oct 25, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 50 Medicare Advantage plans we show for Orangeburg County, SC in 2027

  • 25 list Debra
  • 25 not listed

Humana

21 plans list Debra.

21plans
  • Humana Gold Plus Giveback H5619-169 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5619-169-000Medicare.gov
    $0a month
  • Humana Gold Plus H5619-152 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5619-152-000Medicare.gov
    $0a month
  • Humana Gold Plus H5619-171 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5619-171-000Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-217-000Medicare.gov
    $0a month

Blue Cross Blue Shield of South Carolina

2 plans list Debra.

2plans
  • BlueCross Blue Basic (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH8003-007-000Medicare.gov
    $0a month
  • BlueCross Total Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Summerville, SC, 29486

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH8003-005-000Medicare.gov
    $0a month

Clover Health

2 plans list Debra.

2plans
  • Clover Health LiveHealthy (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486
    • 501 Carnes Crossing Blvd, # B, Summerville, SC, 29486
    • 3510 N Highway 17, Ste 110, Mount Pleasant, SC, 29466

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-036-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1268 Nexton Pkwy, Ste 104, Summerville, SC, 29486
    • 501 Carnes Crossing Blvd, # B, Summerville, SC, 29486
    • 3510 N Highway 17, Ste 110, Mount Pleasant, SC, 29466

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-056-000Medicare.gov
    $0a month

Aetna Medicare

Not listed on its 4 plans here. That isn't proof they're out of network.

First Choice VIP Care (HMO D-SNP)

Not listed on its 1 plan here. That isn't proof they're out of network.

Molina Healthcare of South Carolina

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 12 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 7 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Debra takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

1161 Cook Rd
Orangeburg, SC 29118

NPI Registry
NPI issued
2023
Registry record updated
Aug 6, 2026

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Debra Ballares?

In Orangeburg County, SC, 25 Medicare Advantage plans for 2027 list Debra in provider data from Medicare.gov or the carrier, including Humana Gold Plus Giveback H5619-169 (HMO), Humana Gold Plus H5619-152 (HMO) and Humana Gold Plus H5619-171 (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Debra Ballares take Humana Medicare Advantage plans?

Humana's own provider directory lists Debra on 21 Medicare Advantage plans for 2027 in Orangeburg County, SC, including Humana Gold Plus Giveback H5619-169 (HMO) and Humana Gold Plus H5619-152 (HMO). Confirm with the office or Humana before you enroll.

Does Debra Ballares take Blue Cross Blue Shield of South Carolina Medicare Advantage plans?

Medicare.gov provider data lists Debra on 2 Medicare Advantage plans for 2027 in Orangeburg County, SC, including BlueCross Blue Basic (PPO) and BlueCross Total Value (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Blue Cross Blue Shield of South Carolina before you enroll.

Does Debra Ballares take Clover Health Medicare Advantage plans?

Medicare.gov provider data lists Debra on 2 Medicare Advantage plans for 2027 in Orangeburg County, SC, including Clover Health LiveHealthy (PPO) and Clover Health Valor (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Clover Health before you enroll.

Where does Debra Ballares practice?

1161 Cook Rd, Orangeburg, SC 29118.

How do I confirm Debra is in my plan's network?

Call the member services number on your plan card and give them the NPI 1427756238, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Debra's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Debra Ballares on 25 plans from Aetna Medicare, First Choice VIP Care (HMO D-SNP), Molina Healthcare of South Carolina, UnitedHealthcare and Wellcare in Orangeburg County, SC. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2026-08-06). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Debra Ballares or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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