DR. LUKE JUSTIN BALLARD MD
NPI 1316158892
Radiology - Diagnostic Radiology in Sayre, PA

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1 GUTHRIE SQ, SAYRE, PA 18840(570) 887-4000(570) 887-5775 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Luke Justin Ballard Md NPPES

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

DR. LUKE JUSTIN BALLARD MD (NPI 1316158892) is an individual diagnostic radiology provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD447259) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2003).

NPPES Registry Identity

NPI1316158892
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LUKE JUSTIN BALLARDCredential: MD
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Fax(570) 887-5775
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2003
Enumeration DateMay 25, 2007
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1316158892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in PA · MD447259 Licensed in NY · 267584
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 GUTHRIE SQ, Sayre, PA 18840

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. Luke Justin Ballard Md 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 ID5698845261
PECOS Enrollment IDI20131011001466, I20131106000866
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 51

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
559 services401 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
239 services229 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
181 services172 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
178 services178 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
133 services104 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
117 services114 patients

Hospital Affiliations CMS Care Compare 5

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Troy Community Hospital

Critical Access Hospitals · Troy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391305
Location275 Guthrie DriveTroy, PA 16947 · Bradford County
Emergency services

Upmc Wellsboro

Critical Access Hospitals · Wellsboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391316
Location32-36 Central AvenueWellsboro, PA 16901 · Tioga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840

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 Luke Ballard's NPI number?

The NPI number for Luke Ballard is 1316158892. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Luke Ballard located?

Luke Ballard practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-4000.

What is Luke Ballard's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Luke Ballard enrolled in Medicare?

Yes. Luke 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.

Is Luke Ballard affiliated with any hospitals?

According to CMS data, Luke Ballard is affiliated with Guthrie Cortland Regional Medical Center, Corning Hospital, Robert Packer Hospital, Troy Community Hospital and Upmc Wellsboro.

When was this NPI record last updated?

The NPPES record for Luke Ballard was last updated on March 23, 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.