RILEY K BALLARD PT
NPI 1083386049
Physical Therapist in Clintonville, WI

Active since September 29, 2021Accepts Medicare Assignment
94.82/100
CMS Quality Rating
370 S MAIN ST, CLINTONVILLE, WI 54929(715) 526-7370(715) 526-7294 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Sep 29, 2021 (2 updates tracked since 2021).

About Riley K Ballard Pt NPPES

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

RILEY K BALLARD PT (NPI 1083386049) is an individual physical therapist in Clintonville, Wisconsin, licensed in Wisconsin (16656) and active in the NPI registry since September 2021. He maintains 3 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083386049
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRILEY K BALLARDCredential: PT
Location Address370 S MAIN STClintonville, WI 54929-1632
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (715) 526-7370 · Fax (715) 526-7294
Fax(715) 526-7294
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1083386049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 16656
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
370 S MAIN ST, Clintonville, WI 54929

Secondary Practice Locations 3

Location 12 Park Center Ct Ste 200Owings Mills, MD 21117-4221 · Phone (240) 545-0507
Location 21405 Mill StNew London, WI 54961-2155 · Phone (715) 526-7370 · Fax (715) 526-7294
Location 3100 County Road BShawano, WI 54166-7072 · Phone (715) 526-7370 · Fax (715) 526-7294

Accepted Insurance

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

Riley K Ballard Pt 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 ID42618787
PECOS Enrollment IDI20250821002338

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54929 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

94.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.91
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
370 S MAIN ST
CLINTONVILLE, WI 54929
Physician Assistant
370 S MAIN ST
CLINTONVILLE, WI 54929
General Acute Care Hospital (Critical Access)
370 S MAIN ST
CLINTONVILLE, WI 54929
Family Medicine
370 S MAIN ST
CLINTONVILLE, WI 54929
Physical Therapist
370 S MAIN ST
CLINTONVILLE, WI 54929
Nurse Practitioner (Family)
370 S MAIN ST
CLINTONVILLE, WI 54929
Physical Therapist
370 S MAIN ST
CLINTONVILLE, WI 54929
Physical Therapist
370 S MAIN ST
CLINTONVILLE, WI 54929

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 Riley Ballard's NPI number?

The NPI number for Riley Ballard is 1083386049. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Riley Ballard located?

Riley Ballard practices at 370 S Main St, Clintonville, WI 54929. The listed phone number is (715) 526-7370.

What is Riley Ballard's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Riley Ballard enrolled in Medicare?

Yes. Riley 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.

What insurance does Riley Ballard accept?

Health plans from CareSource (Common Ground Healthcare) list Riley Ballard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riley Ballard was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.