DR. KAREN SUZANNE BALLARD D.O.
NPI 1215121264
Obstetrics & Gynecology in Johnson City, TN

Q: What is Karen Ballard's NPI number?

The NPI number for Karen Ballard is 1215121264. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Q: What is Karen Ballard's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Ballard was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 04, 2007PECOS EnrolledAccepts Medicare Assignment

325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604(423) 439-7272 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Nov 7, 2016 (2 updates tracked since 2016).

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About Dr. Karen Suzanne Ballard D.o. NPPES

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

DR. KAREN SUZANNE BALLARD D.O. (NPI 1215121264) is an individual obstetrics & gynecology provider in Johnson City, Tennessee, licensed in Tennessee (4660) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1215121264

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KAREN SUZANNE BALLARDCredential: D.O.

Location Address325 N STATE OF FRANKLIN RD FL 1Johnson City, TN 37604-6056

Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 439-7272 · Fax (423) 439-7235

Phone(423) 439-7272

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2004

Enumeration DateSeptember 4, 2007

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1215121264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in TN · 4660✔ Licensed in NY · 257356

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

325 N STATE OF FRANKLIN RD FL 1, Johnson City, TN 37604

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Other Identifiers 2

Other257356NY · License

MedicaidQ073579TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Dr. Karen Suzanne Ballard D.o. 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 ID4486726254

PECOS Enrollment IDI20220713001568

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.

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 20

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

MARTIN E. OLSEN M.D.

Obstetrics & Gynecology