BALLARD GLENN BLAIR D.P.M
NPI 1356350201
Podiatrist - Primary Podiatric Medicine in Shelton, CT
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
Specialties & Licenses 4
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ballard Blair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shelton, CT 06484
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for Ballard Blair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ballard Blair reassigns Medicare benefits to B .Glenn Blair DPM P.C. (Shelton, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ballard Blair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ballard Blair accept?
Health plans from Anthem Blue Cross and Blue Shield list Ballard Blair 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.
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 13 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.
# Ballard Glenn Blair, D.P.M · NPI 1356350201
Primary Podiatric Medicine provider in Shelton, Connecticut. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1356350201 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Podiatrist - Primary Podiatric Medicine · taxonomy 213EP1101X
- **State license:** 00419 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 375 BRIDGEPORT AVE, Shelton, CT 06484
- **Phone:** (203) 929-5559 · **Fax:** (203) 929-5277
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** B .Glenn Blair DPM P.C. (NPI 1306020938, Shelton, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Podiatric Med And Surgery, Des Moines University, class of 1986
## Record status
- **NPPES last updated:** September 4, 2013
- **Other identifiers:** Medicare UPIN T23311 (CT); Medicaid 004070918 (CT); Medicare PIN 480000654 (CT); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356350201) · Data from the CMS NPPES public registry.