BALLARD GLENN BLAIR D.P.M
NPI 1356350201
Podiatrist - Primary Podiatric Medicine in Shelton, CT

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
375 BRIDGEPORT AVE, SHELTON, CT 06484(203) 929-5559(203) 929-5277 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ballard Glenn Blair D.p.m NPPES

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

BALLARD GLENN BLAIR D.P.M (NPI 1356350201) is an individual primary podiatric medicine provider in Shelton, Connecticut, licensed in Connecticut (00419) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of College Of Podiatric Med And Surgery, Des Moines University (1986).

NPPES Registry Identity

NPI1356350201
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameBALLARD GLENN BLAIRCredential: D.P.M
Location Address375 BRIDGEPORT AVEShelton, CT 06484
Mailing Address375 Bridgeport AveShelton, CT 06484 · (203) 929-5559 · Fax (203) 929-5277
Fax(203) 929-5277
Sole ProprietorYes
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 1986
Enumeration DateAugust 7, 2006
Last NPPES UpdateSeptember 4, 2013
NPI 1356350201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in CT · 00419
Also ListedPodiatristTaxonomy 213E00000X · License CT000419 (CT)
Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X · License 00419 (CT)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 00419 (CT)
375 BRIDGEPORT AVE, Shelton, CT 06484

Other Names 1

Professional Name (2)B. Glenn Blair D.p.m

Other Identifiers 4

Medicare UPINT23311CT
Medicaid004070918CT
Medicare PIN480000654CT
Medicare NSC1356350201CT

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

Ballard Glenn Blair D.p.m 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 ID8921120718
PECOS Enrollment IDI20111213000339
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 7

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 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.
1,010 services288 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
94 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
88 services88 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
83 services28 patients
Simple or single drainage of skin abscess 10060
A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.
23 services22 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
21 services21 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Podiatrist (Primary Podiatric Medicine)
375 BRIDGEPORT AVE
SHELTON, CT 06484
Dentist (Endodontics)
375 BRIDGEPORT AVE
SHELTON, CT 06484
Dentist (General Practice)
375 BRIDGEPORT AVE
SHELTON, CT 06484

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 Ballard Blair's NPI number?

The NPI number for Ballard Blair is 1356350201. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as B. Glenn Blair D.P.M.

Where is Ballard Blair located?

Ballard Blair practices at 375 Bridgeport Ave, Shelton, CT 06484. The listed phone number is (203) 929-5559.

What is Ballard Blair's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Ballard Blair enrolled in Medicare?

Yes. Ballard Blair 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.

When was this NPI record last updated?

The NPPES record for Ballard Blair was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.