CHRISTOPHER W BALLARD M.D.
NPI 1164428165
Family Medicine in Fairfield, IL

Q: What is Christopher Ballard's NPI number?

The NPI number for Christopher Ballard is 1164428165. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Christopher Ballard's specialty?

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

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

213 NW 10TH STREET, SUITE A, FAIRFIELD, IL 62837(618) 842-4617(618) 842-4743 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christopher W Ballard M.d. NPPES

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

CHRISTOPHER W BALLARD M.D. (NPI 1164428165) is an individual family medicine provider in Fairfield, Illinois, licensed in Illinois (036110162) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1164428165

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHRISTOPHER W BALLARDCredential: M.D.

Location Address213 NW 10TH STREET, SUITE AFairfield, IL 62837

Mailing Address213 Nw 10th St, Suite AFairfield, IL 62837-1219 · (618) 842-4617 · Fax (618) 842-4743

Phone(618) 842-4617

Fax(618) 842-4743

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997

Enumeration DateJune 23, 2005

Last NPPES UpdateMarch 3, 2021

NPPES CertifiedMarch 3, 2021

✔ NPI 1164428165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036110162

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.

213 NW 10TH STREET, Fairfield, IL 62837

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Other Identifiers 2

Medicaid036110162IL

Other820900Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Christopher W Ballard M.d. 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 ID2062498447

PECOS Enrollment IDI20040626000034

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers86 claims168 services$6.19 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers23 claims27 services$1.04 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$5.58 avg. paid by Medicare

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432

DME-Orthotic Devices · category DF010N

1 supplier18 claims240 services$3.25 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers34 claims34 services$42.42 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers14 claims28 services$1.68 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier12 claims24 services$1.32 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers23 claims23 services$112.47 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers39 claims82 services$40.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers27 claims27 services$25.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers42 claims171 services$2.63 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

2 suppliers16 claims16 services$13.37 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier35 claims35 services$6.84 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers66 claims66 services$50.35 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers58 claims58 services$111.74 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers56 claims5,520 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers26 claims1,557 services$0.78 avg. paid by Medicare

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 suppliers68 claims68 services$193.30 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers44 claims44 services$39.90 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers57 claims57 services$22.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Christopher Ballard's NPI number?

The NPI number for Christopher Ballard is 1164428165. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Christopher Ballard located?

Christopher Ballard practices at 213 NW 10th Street Suite A, Fairfield, IL 62837. The listed phone number is (618) 842-4617.

What is Christopher Ballard's specialty?

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

Is Christopher Ballard enrolled in Medicare?

Yes. Christopher 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 Christopher Ballard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Christopher 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.

Is Christopher Ballard affiliated with any hospitals?

According to CMS data, Christopher Ballard is affiliated with Fairfield Memorial Hospital 1, Wabash General Hospital 1, Clay County Hospital and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Christopher Ballard was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.