DR. ARTHUR R BALLARD II MD
NPI 1649489014
Radiology - Diagnostic Radiology in Port Charlotte, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
23081 HARBORVIEW RD, PORT CHARLOTTE, FL 33980(941) 235-8762(941) 237-5691 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017, Nov 19, 2015 (3 updates tracked since 2015).

About Dr. Arthur R Ballard Ii Md NPPES

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

DR. ARTHUR R BALLARD II MD (NPI 1649489014) is an individual diagnostic radiology provider in Port Charlotte, Florida, licensed in Florida (ME112324) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2006).

NPPES Registry Identity

NPI1649489014
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ARTHUR R BALLARD IICredential: MD
Location Address23081 HARBORVIEW RDPort Charlotte, FL 33980-2153
Mailing Address23081 Harborview RdPort Charlotte, FL 33980-2153 · (941) 235-8762 · Fax (941) 237-5691
Fax(941) 237-5691
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2006
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1649489014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in FL · ME112324 Licensed in MD · D76695 Licensed in OH · 35-097902
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT188710 (PA)
23081 HARBORVIEW RD, Port Charlotte, FL 33980

Other Names 1

Professional Name (2)Dr. Arthur R Ballard Md

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. Arthur R Ballard Ii 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 ID6608048301
PECOS Enrollment IDI20130320000497, I20260512000484
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 30

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
2,354 services2,354 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
2,342 services2,342 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.
879 services776 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
743 services743 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
644 services637 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
266 services247 patients

Hospital Affiliations CMS Care Compare 5

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

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260085
Location1000 Carondelet DrKansas City, MO 64114 · Jackson County
Emergency services

St Mary's Medical Center

Acute Care Hospitals · Blue Springs, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260193
Location201 NW R D Mize RdBlue Springs, MO 64014 · Jackson County
Emergency services

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33980 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
80%40 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,273 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%1,216 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%177 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
23081 HARBORVIEW RD
PORT CHARLOTTE, FL 33980

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 Arthur Ballard's NPI number?

The NPI number for Arthur Ballard is 1649489014. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Dr. Arthur R Ballard MD.

Where is Arthur Ballard located?

Arthur Ballard practices at 23081 Harborview Rd, Port Charlotte, FL 33980. The listed phone number is (941) 235-8762.

What is Arthur Ballard's specialty?

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

Is Arthur Ballard enrolled in Medicare?

Yes. Arthur 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 Arthur Ballard accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Arthur 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 Arthur Ballard affiliated with any hospitals?

According to CMS data, Arthur Ballard is affiliated with Steward Palmetto General Hospital, St Joseph Medical Center, St Mary's Medical Center, Saint Clare's Hospital/ Denville Campus and Mission Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arthur Ballard was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.