DR. WILLIAM TIMOTHY BALLARD M.D.
NPI 1992701999
Orthopaedic Surgery in Chattanooga, TN

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
2415 MCCALLIE AVE, CHATTANOOGA, TN 37404(423) 624-2696(423) 697-2059 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William Timothy Ballard M.d. NPPES

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

DR. WILLIAM TIMOTHY BALLARD M.D. (NPI 1992701999) is an individual orthopaedic surgery provider in Chattanooga, Tennessee, licensed in Tennessee (MD27703) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1990).

NPPES Registry Identity

NPI1992701999
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. WILLIAM TIMOTHY BALLARDCredential: M.D.
Location Address2415 MCCALLIE AVEChattanooga, TN 37404-3322
Mailing Address2415 Mccallie AveChattanooga, TN 37404-3322 · (423) 624-2696 · Fax (423) 697-2059
Fax(423) 697-2059
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1990
Enumeration DateJune 23, 2005
Last NPPES UpdateSeptember 4, 2012
NPI 1992701999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TN · MD27703
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 027703 (TN)
2415 MCCALLIE AVE, Chattanooga, TN 37404

Other Identifiers 3

Other3036168TN · Bc/bs
Medicare UPINE97429TN
Medicaid3800986TN

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. William Timothy Ballard M.d. 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 ID6002906401
PECOS Enrollment IDI20111115000367
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 23

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.
354 services311 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
353 services262 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
310 services222 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
284 services255 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
270 services224 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
265 services265 patients

Hospital Affiliations CMS Care Compare 3

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
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

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
59%1,188 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%22 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%27 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%3,229 patients4/55-star benchmark: 100%
e-Prescribing
100%1,686 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%1,520 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 2,208 patients
Patients screened: 99% · 2,208 patients
99%204 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,820 patients5/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%52 patients4/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cane, includes canes of all materials, adjustable or fixed, with tip E0100
DME-Other DME · category DE000N
2 suppliers15 claims15 services$18.51 avg. paid by Medicare
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips E0105
DME-Other DME · category DE000N
1 supplier15 claims15 services$46.46 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers68 claims68 services$45.16 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
5 suppliers46 claims46 services$51.50 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier18 claims370 services$18.63 avg. paid by Medicare
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf L1830
DME-Orthotic Devices · category DF011N
3 suppliers86 claims93 services$69.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Physician Assistant
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Orthopaedic Surgery
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Specialist/Technologist (Athletic Trainer)
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Orthopaedic Surgery
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Occupational Therapist
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404
Physical Therapist
2415 MCCALLIE AVE
CHATTANOOGA, TN 37404

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 1992701999. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is William Ballard located?

William Ballard practices at 2415 Mccallie Ave, Chattanooga, TN 37404. The listed phone number is (423) 624-2696.

What is William Ballard's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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 Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and 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 Hamilton Medical Center, Memorial Healthcare System, Inc and Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for William Ballard was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.