DR. ERICA SMITH BALLARD OD
NPI 1811492507
Optometrist in Lexington, KY
About Dr. Erica Smith Ballard Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERICA SMITH BALLARD OD (NPI 1811492507) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (2114DT) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Dr. Erica Smith Ballard Od 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 Erica Ballard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40536
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
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 Erica Ballard's NPI number?
The NPI number for Erica Ballard is 1811492507. It was assigned to this individual provider in the NPPES registry on March 26, 2018. The provider is also known as Erica Ashley Smith Od.
Where is Erica Ballard located?
Erica Ballard practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.
What is Erica Ballard's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Erica Ballard enrolled in Medicare?
Yes. Erica 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.
Which organization bills Medicare for Erica Ballard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Ballard reassigns Medicare benefits to University Of Kentucky (Lexington, KY). 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 Erica Ballard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Ballard accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 2 other insurers list Erica 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 Erica Ballard was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Erica Smith Ballard, OD · NPI 1811492507
Optometrist provider in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1811492507 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2114DT (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 CONN TER STE 550, Lexington, KY 40508-3206
- **Phone:** (859) 323-5867 · **Fax:** (859) 323-8510
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** University Of Kentucky (NPI 1215449590, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811492507) · Data from the CMS NPPES public registry.