DR. RICHARD DANE BALLARD M.D.
NPI 1366739054
Internal Medicine - Interventional Cardiology in Tupelo, MS

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
499 GLOSTER CREEK VLG STE A2, TUPELO, MS 38801(662) 620-6800(662) 620-6950 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Dane Ballard M.d. NPPES

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

DR. RICHARD DANE BALLARD M.D. (NPI 1366739054) is an individual interventional cardiology provider in Tupelo, Mississippi, licensed in Mississippi (22430) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Tupelo.

NPPES Registry Identity

NPI1366739054
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. RICHARD DANE BALLARDCredential: M.D.
Location Address499 GLOSTER CREEK VLG STE A2Tupelo, MS 38801
Mailing Address499 Gloster Creek Vlg Ste A2Tupelo, MS 38801-4749 · (662) 620-6800 · Fax (662) 620-6950
Fax(662) 620-6950
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateJuly 1, 2011
Last NPPES UpdateSeptember 18, 2018
NPI 1366739054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in MS · 22430
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

499 GLOSTER CREEK VLG STE A2, Tupelo, MS 38801

Secondary Practice Location 1

Location 1499 Gloster Creek Vlg Ste A2Tupelo, MS 38801 · Phone (662) 620-6800 · Fax (662) 620-6950

Other Identifiers 2

OtherT-2401MS · Temporary Ms Medical License
Medicaid05300066MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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. Richard Dane Ballard M.d. 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 ID8628324076
PECOS Enrollment IDI20180627003171, I20260611002105
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 43

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.
570 services492 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
485 services454 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
296 services289 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
236 services59 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
209 services197 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
159 services150 patients

Hospital Affiliations CMS Care Compare 4

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number250025
Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Tippah County Hospital

Critical Access Hospitals · Ripley, MS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number251337
Location1005 City Ave NorthRipley, MS 38663 · Tippah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Nurse Practitioner (Acute Care)
499 GLOSTER CREEK VLG STE A2, SUITE A-2
TUPELO, MS 38801
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS
TUPELO, MS 38801
Nurse Practitioner
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, PA
TUPELO, MS 38801
Nurse Practitioner (Acute Care)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, PA
TUPELO, MS 38801
Internal Medicine (Clinical Cardiac Electrophysiology)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801

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 Richard Ballard's NPI number?

The NPI number for Richard Ballard is 1366739054. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Richard Ballard located?

Richard Ballard practices at 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801. The listed phone number is (662) 620-6800.

What is Richard Ballard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Richard Ballard enrolled in Medicare?

Yes. Richard 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 Richard Ballard accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Richard 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 Richard Ballard affiliated with any hospitals?

According to CMS data, Richard Ballard is affiliated with North Mississippi Medical Center, North Mississippi Medical Center-Gilmore Amory, Clay County Medical Corporation and Tippah County Hospital.

When was this NPI record last updated?

The NPPES record for Richard Ballard was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.