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

MR. JAMES WARNER BALLARD PA-C
NPI 1225628191
Physician Assistant in Tucson, AZ

Active since January 24, 2021PECOS Enrolled
2720 S 6TH AVE, TUCSON, AZ 85713(520) 475-5418(520) 300-8034 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jul 14, 2021, Jul 6, 2021 and 2 more (5 updates tracked since 2021).

About Mr. James Warner Ballard Pa-c NPPES

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

MR. JAMES WARNER BALLARD PA-C (NPI 1225628191) is an individual physician assistant in Tucson, Arizona, licensed in Arizona (11957) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225628191
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JAMES WARNER BALLARDCredential: PA-C
Location Address2720 S 6TH AVETucson, AZ 85713-4701
Mailing AddressPo Box 746093Atlanta, GA 30374-6093 · (520) 475-5418 · Fax (520) 300-8034
Phone(520) 475-5418
Fax(520) 300-8034
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 24, 2021
Last NPPES UpdateAugust 5, 20265 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1225628191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 11957✔ Licensed in IL · 085.008145✔ Licensed in NC · 0010-11253
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2720 S 6TH AVE, Tucson, AZ 85713
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1105 Vest Mill CirWinston Salem, NC 27103-2943 · Phone (336) 718-7800 · Fax (336) 718-7900
Location 22001 S California Ave # 100Chicago, IL 60608-2486 · Phone (773) 584-6200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Mr. James Warner Ballard Pa-c 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 ID9133520752
PECOS Enrollment IDI20210702000092
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 4

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.
118 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 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.
33 services28 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 3

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

DR. MED DAN MD
Family Medicine
2720 S 6TH AVE
TUCSON, AZ 85713
Pima County (520) 475-5418
LACONDA DAVENPORT FNP
Nurse Practitioner (Family)
2720 S 6TH AVE
TUCSON, AZ 85713
Pima County (520) 475-5418
MICHELE ROSELLE LI CAUSI RD, ARNP, FNP-C, CDE
Nurse Practitioner (Family)
2720 S 6TH AVE
TUCSON, AZ 85713
Pima County (520) 475-5418

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 James Ballard's NPI number?

The NPI number for James Ballard is 1225628191. It was assigned to this individual provider in the NPPES registry on January 24, 2021.

Where is James Ballard located?

James Ballard practices at 2720 S 6th Ave, Tucson, AZ 85713. The listed phone number is (520) 475-5418.

What is James Ballard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Ballard enrolled in Medicare?

Yes. James 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 James Ballard accept?

Health plans from Blue Cross and Blue Shield of NC list James 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 James Ballard affiliated with any hospitals?

According to CMS data, James Ballard is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for James Ballard was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.