Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since August 30, 2019PECOS Enrolled
79.29/100
CMS Quality Rating
907 E LAMAR ALEXANDER PKWY STE 355, MARYVILLE, TN 37804(865) 980-5060 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2026, Sep 25, 2026, Nov 3, 2025 and 5 more (8 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 maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154979359
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD LANCE WARD
Location Address907 E LAMAR ALEXANDER PKWY STE 355Maryville, TN 37804-5015
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2019
Last NPPES UpdateOctober 19, 20268 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ 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
Licenses✔ Licensed in TN · APN26273✔ Licensed in OH · APRN.CNP.0043448
907 E LAMAR ALEXANDER PKWY STE 355, Maryville, TN 37804

Secondary Practice Locations 2

Location 11299 Industrial Pkwy N Ste 110Brunswick, OH 44212-6366 · Phone (330) 225-6468 · Fax (330) 225-6534
Location 23985 Medina Rd Ste 120Medina, OH 44256-5968 · Phone (330) 225-6468 · Fax (330) 225-6534

Other Identifiers 1

MedicaidQ052580TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Ward reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
266 JOULE ST
Alcoa, TN 37701
  • Reassigned Medicare billing, Tennessee enrollment
  • 295 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
6350 W ANDREW JOHNSON HWY
Talbott, TN 37877
  • Reassigned Medicare billing, Tennessee enrollment
  • 257 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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 907 E Lamar Alexander Pkwy Ste 355, 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.

Which organizations bill Medicare for Donald Ward's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Ward reassigns Medicare benefits to 2 organizations: Blount Memorial Physician Group, Inc (Alcoa, TN) and Cherokee Health Systems (Talbott, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Ward's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Ward accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers 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 October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.