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DR. WILLIAM L BALLARD MD
NPI 1902812993
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
95 COLLIER RD NW, SUITE 2065, ATLANTA, GA 30309(404) 605-2800(404) 720-0911 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2023, Feb 19, 2016 (2 updates tracked since 2016).

About Dr. William L Ballard Md NPPES

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

DR. WILLIAM L BALLARD MD (NPI 1902812993) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (035554) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Eastern Virginia Medical School (1986).

NPPES Registry Identity

NPI1902812993
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WILLIAM L BALLARDCredential: MD
Location Address95 COLLIER RD NW, SUITE 2065Atlanta, GA 30309-1796
Mailing Address95 Collier Rd Nw, Suite 2065Atlanta, GA 30309-1796 · (404) 605-2800 · Fax (404) 720-0911
Phone(404) 605-2800
Fax(404) 720-0911
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1986
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1902812993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in GA · 035554
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 035554 (GA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 035554 (GA)
95 COLLIER RD NW, Atlanta, GA 30309
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. William L Ballard 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 ID5597740944
PECOS Enrollment IDI20040621001314
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 11

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services149 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.
143 services133 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.
67 services67 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
55 services55 patients
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.
24 services22 patients
Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460
This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
15%210 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%130 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%210 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%216 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%208 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
63%65 patients3/55-star benchmark: 98%
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 20

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

HAROLD D. CARLSON MD
Internal Medicine (Interventional Cardiology)
95 COLLIER RD NW, SUITE 2065
ATLANTA, GA 30309
Fulton County (404) 605-2800
DAVID FRANCIS MELDRUM L.D.O.
Technician/Technologist (Optician)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 351-2220
DR. THOMAS S CLAIBORNE JR. M.D.
Internal Medicine (Gastroenterology)
95 COLLIER RD NW, SUITE 4055
ATLANTA, GA 30309
Fulton County (404) 355-3200
DR. ERIC LOUIS SCEUSI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
95 COLLIER RD NW, SUITE 2055
ATLANTA, GA 30309
Fulton County (404) 605-5699
JENINA PEREZ LAGASCA NP
Nurse Practitioner (Adult Health)
95 COLLIER RD NW, SUITE 5015
ATLANTA, GA 30309
Fulton County (404) 605-5699
IRIS MONTILLA-AFRIYE
Registered Nurse
95 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (646) 228-2601
ARUN KRISHNAMOORTHY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
95 COLLIER RD NW, SUITE 3000
ATLANTA, GA 30309
Fulton County (404) 605-5140
DR. KEVIN MICHAEL MCGILL M.D.
Surgery
95 COLLIER RD NW, SUITE 6015
ATLANTA, GA 30309
Fulton County (404) 351-5959

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 William Ballard's NPI number?

The NPI number for William Ballard is 1902812993. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is William Ballard located?

William Ballard practices at 95 Collier Rd NW Suite 2065, Atlanta, GA 30309. The listed phone number is (404) 605-2800.

What is William Ballard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Ballard enrolled in Medicare?

Yes. William 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 William Ballard accept?

Health plans from UnitedHealthcare list William 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 William Ballard affiliated with any hospitals?

According to CMS data, William Ballard is affiliated with Piedmont Hospital and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for William Ballard was last updated on June 5, 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.