DONALD LANCE WARD
NPI 1154979359
Nurse Practitioner - Family in Maryville, TN

Active since August 30, 2019PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
355 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804(865) 980-5060(865) 980-5066 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Nov 1, 2022, Nov 30, 2021 and 3 more (6 updates tracked since 2019).

About Donald Lance Ward NPPES

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

DONALD LANCE WARD (NPI 1154979359) is an individual family provider in Maryville, Tennessee, licensed in Tennessee (APN26273) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154979359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD LANCE WARD
Location Address355 BMH PHYSICIANS OFFICE BLDGMaryville, TN 37804-5820
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(865) 980-5066
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2019
Last NPPES UpdateNovember 3, 20256 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1154979359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN26273
355 BMH PHYSICIANS OFFICE BLDG, Maryville, TN 37804

Other Identifiers 1

MedicaidQ052580TN

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

Donald Lance Ward 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 ID1355774456
PECOS Enrollment IDI20200501000431
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 2

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.
197 services122 patients
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.
37 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37804 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Gastroenterology)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Physician Assistant
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Gastroenterology)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Nurse Practitioner (Family)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804
Internal Medicine (Gastroenterology)
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804

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 Donald Ward's NPI number?

The NPI number for Donald Ward is 1154979359. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Donald Ward located?

Donald Ward practices at 355 Bmh Physicians Office Bldg, Maryville, TN 37804. The listed phone number is (865) 980-5060.

What is Donald Ward's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Ward enrolled in Medicare?

Yes. Donald Ward 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 Donald Ward accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Donald Ward 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.

Is Donald Ward affiliated with any hospitals?

According to CMS data, Donald Ward is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Ward was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.