Carl Ballard, FNP-C
NPI 1386243574 · Family Nurse Practitioner · Detroit, AL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carl Ballard, FNP-C is a Family Nurse Practitioner provider in Detroit, AL (NPI 1386243574).
Provider details
- NPI number
- 1386243574
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 904235 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
214 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 79 | $66 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 47 | $141 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 45 | $106 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 27 | $92 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 16 | $41 |
Typical Medicare-allowed amounts for these services range $41–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 157 | 67 |
| Metoprolol Succinate | 123 | 65 |
| Pantoprazole Sodium | 97 | 49 |
| Ticagrelorbrand: Brilinta | 62 | 16 |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er | 57 | 19 |
| Rosuvastatin Calcium | 52 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$212 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Frequently asked questions
- What is Carl Ballard's NPI number?
- Carl Ballard's National Provider Identifier (NPI) is 1386243574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Ballard's specialty?
- Carl Ballard is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carl Ballard located?
- Carl Ballard's practice location on file with NPPES is 2635 Johnson Bottom Rd, Detroit, AL 35552-2731.
- What is Carl Ballard's phone number?
- The practice phone number listed in the NPPES registry for Carl Ballard is (205) 495-0545.
- Does Carl Ballard accept Medicare?
- Carl Ballard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carl Ballard's NPI active?
- Yes — Carl Ballard's NPI (1386243574) is active in the NPPES registry as of the last update on 2020-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.