CHARLES HUNT BALLARD D.O.
NPI 1043357262
Family Medicine in Eastvale, CA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
12742 LIMONITE AVE, EASTVALE, CA 92880(951) 739-2712 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Hunt Ballard D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES HUNT BALLARD D.O. (NPI 1043357262) is an individual family medicine provider in Eastvale, California, licensed in California (20A10039) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1990).

NPPES Registry Identity

NPI1043357262
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES HUNT BALLARDCredential: D.O.
Location Address12742 LIMONITE AVEEastvale, CA 92880-9630
Mailing Address12742 Limonite AveEastvale, CA 92880-9630 · (951) 739-2712
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1990
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1043357262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CA · 20A10039 Licensed in HI · DOS735
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12742 LIMONITE AVE, Eastvale, CA 92880

Secondary Practice Location 1

Location 1818 Magnolia AveCorona, CA 92879-3106 · Phone (951) 493-6852 · Fax (951) 272-1435

Other Identifiers 1

OtherZZZ31887ZCA · Site Zzz

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Hunt Ballard D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244283810
PECOS Enrollment IDI20090130000237
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
22%779 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,718 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
2%1,250 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
92%1,250 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
82%1,250 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
100%742 patients5/55-star benchmark: 100%
Secure Messaging
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 certified EHR technology to the patient (or the patient-authorized representative), or in…
32%1,250 patients2/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
38%39 patients2/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
28%1,250 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$209.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
12742 LIMONITE AVE
EASTVALE, CA 92880
Pediatrics
12742 LIMONITE AVE
EASTVALE, CA 92880
Nurse Practitioner
12742 LIMONITE AVE
EASTVALE, CA 92880
Physician Assistant
12742 LIMONITE AVE
EASTVALE, CA 92880
Pediatrics
12742 LIMONITE AVE
EASTVALE, CA 92880
Physician Assistant
12742 LIMONITE AVE
EASTVALE, CA 92880
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12742 LIMONITE AVE
EASTVALE, CA 92880
Internal Medicine
12742 LIMONITE AVE
EASTVALE, CA 92880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ballard's NPI number?

The NPI number for Charles Ballard is 1043357262. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Charles Ballard located?

Charles Ballard practices at 12742 Limonite Ave, Eastvale, CA 92880. The listed phone number is (951) 739-2712.

What is Charles Ballard's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Ballard enrolled in Medicare?

Yes. Charles Ballard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Ballard was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.