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DR. JOSEPH MARSHALL BALLARD O.D.
NPI 1114339355
Optometrist in Fayetteville, NC

Active since May 22, 2014PECOS Enrolled
88.96/100
CMS Quality Rating
5811 RAMSEY ST, FAYETTEVILLE, NC 28311(910) 884-9922(910) 401-1329 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Oct 5, 2022 (2 updates tracked since 2022).

About Dr. Joseph Marshall Ballard O.d. NPPES

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

DR. JOSEPH MARSHALL BALLARD O.D. (NPI 1114339355) is an individual optometrist in Fayetteville, North Carolina, licensed in North Carolina (2403) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hope Mills, and is a graduate of Southern College Of Optometry (2014).

NPPES Registry Identity

NPI1114339355
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSEPH MARSHALL BALLARDCredential: O.D.
Location Address5811 RAMSEY STFayetteville, NC 28311-3416
Mailing Address5811 Ramsey StFayetteville, NC 28311-3416 · (910) 884-9922 · Fax (910) 401-1329
Phone(910) 884-9922
Fax(910) 401-1329
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2014
Enumeration DateMay 22, 2014
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 4, 2022
✔ NPI 1114339355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2403
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5811 RAMSEY ST, Fayetteville, NC 28311
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Secondary Practice Location 1

Location 13701 S Main StHope Mills, NC 28348-1958 · Phone (910) 423-0700 · Fax (910) 423-0882

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Marshall Ballard O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688987811
PECOS Enrollment IDI20230126000365
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 10

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 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.
242 services145 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
236 services173 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
145 services125 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
59 services50 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
35 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28311 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

88.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.93
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

SANDHILLS EYE CARE, OD, PA
Optometrist
5811 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 884-9922
NORTHSIDE FAMILY EYE CARE OPTOMETRY, PA
Optometrist
5811 RAMSEY ST
FAYETTEVILLE, NC 28311
Cumberland County (910) 884-9922

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 Joseph Ballard's NPI number?

The NPI number for Joseph Ballard is 1114339355. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Joseph Ballard located?

Joseph Ballard practices at 5811 Ramsey St, Fayetteville, NC 28311. The listed phone number is (910) 884-9922.

What is Joseph Ballard's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joseph Ballard enrolled in Medicare?

Yes. Joseph Ballard is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Ballard accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Joseph 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 Joseph Ballard was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.