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DR. BILLY RAY BALLARD M.D.
NPI 1376521518
Pathology - Anatomic Pathology in Nashville, TN

Active since January 06, 2006PECOS Enrolled
89.57/100
CMS Quality Rating
1005 DR. D. B. TODD BLVD, NASHVILLE, TN 37208(615) 327-6212(615) 327-6409 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Billy Ray Ballard M.d. NPPES

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

DR. BILLY RAY BALLARD M.D. (NPI 1376521518) is an individual anatomic pathology provider in Nashville, Tennessee, licensed in Tennessee (13139) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376521518
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. BILLY RAY BALLARDCredential: M.D.
Location Address1005 DR. D. B. TODD BLVDNashville, TN 37208
Mailing Address1005 Dr. D. B. Todd BlvdNashville, TN 37208 · (615) 327-6212 · Fax (615) 327-6409
Phone(615) 327-6212
Fax(615) 327-6409
Sole ProprietorNo
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 4, 2016
✔ NPI 1376521518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TN · 13139
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1005 DR. D. B. TODD BLVD, Nashville, TN 37208
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Other Identifiers 3

Medicare ID-Type Unspecified3851394TN
Medicaid3851394TN
Medicare UPIN13139TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Billy Ray Ballard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37208 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

89.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.45
Promoting Interoperability99
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.

DR. VERNITA ANN TUCKER M.D.
Obstetrics & Gynecology
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-5524
DR. REGINALD WILLIAM COOPWOOD M. D.
Surgery
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 341-4746
DR. DIGNA SAUNDERS FORBES M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6438
DR. RITA MARIE KIKKAWA M.D.
Radiology (Vascular & Interventional Radiology)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-5617
DR. ROBERT EUGENE BURNETTE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6212
DR. CECIL WAYNE CONE II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6212
DR. DARRYL JORDAN M.D.
Internal Medicine (Pulmonary Disease)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-5867
DR. JAMES LAFAYETTE POTTS M.D.
Internal Medicine (Cardiovascular Disease)
1005 DR. D. B. TODD BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-5867

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 Billy Ballard's NPI number?

The NPI number for Billy Ballard is 1376521518. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Billy Ballard located?

Billy Ballard practices at 1005 Dr. D. B. Todd Blvd, Nashville, TN 37208. The listed phone number is (615) 327-6212.

What is Billy Ballard's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Billy Ballard enrolled in Medicare?

Yes. Billy Ballard is registered in the Medicare PECOS enrollment system.

What insurance does Billy Ballard accept?

Health plans from Oscar Insurance Company list Billy 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.

When was this NPI record last updated?

The NPPES record for Billy Ballard was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.