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ERICA T BALLARD
NPI 1932542503
Physician Assistant - Medical in Portland, OR

Active since April 12, 2013PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
501 N GRAHAM ST, STE 200, PORTLAND, OR 97227(503) 413-4710(503) 413-4711 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica T Ballard NPPES

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

ERICA T BALLARD (NPI 1932542503) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA169996) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1932542503
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameERICA T BALLARD
Location Address501 N GRAHAM ST, STE 200Portland, OR 97227-1654
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-4710 · Fax (503) 413-4711
Phone(503) 413-4710
Fax(503) 413-4711
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 12, 2013
Last NPPES UpdateNovember 29, 2016
✔ NPI 1932542503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA169996
501 N GRAHAM ST, Portland, OR 97227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Erica T Ballard 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 ID42533036
PECOS Enrollment IDI20141224000142
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 2

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.
56 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

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.

JAMES FRANCIS DEITLE PA-C
Physician Assistant
501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227
Multnomah County (503) 528-0704
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
501 N GRAHAM ST, STE 255
PORTLAND, OR 97227
Multnomah County (503) 288-9929
HELEN MONTIE MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST
PORTLAND, OR 97227
Multnomah County (503) 413-2200
DR. KARIN ANN SELVA MD
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
SURGICAL CENTER, INC
Surgery
501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227
Multnomah County (503) 288-7535
EMANUEL CHILDREN'S DIABETES AND ENDOCRINE CENTER
Clinic/Center
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
MRS. PATRICIA KREINBERG VROOMAN CPNP
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Multnomah County (503) 413-2560
CYNTHIA ANN GINGALEWSKI MD
Surgery (Pediatric Surgery)
501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227
Multnomah County (503) 413-4300

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 1932542503. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Erica Ballard located?

Erica Ballard practices at 501 N Graham St Ste 200, Portland, OR 97227. The listed phone number is (503) 413-4710.

What is Erica Ballard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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.

What insurance does Erica Ballard accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon 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.

Is Erica Ballard affiliated with any hospitals?

According to CMS data, Erica Ballard is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Ballard was last updated on November 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.