Active NPI 1538615570 Individual Practitioner Female Practitioner

Heather D Ballard , APRN

Nurse Practitioner • Mayfield, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Ballard, APRN is a certified Nurse Practitioner practicing in Mayfield, KY. With approximately 11 years of clinical experience since completing medical education in 2015, Heather Ballard delivers high-quality medical care to the local community at 1029 MEDICAL CENTER CIR.

Heather Ballard is affiliated with Pinelake Physician Practice Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1029 Medical Center Cir
Suite 306

Mayfield, KY 420661189

Telephone 2703514575

Fax 2702514577

Associated Practice Facility / Clinic

🏢 Western Kentucky Urological Associates Psc Facility NPI 1356394639

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mayfield, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Mayfield, KY (1865 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ballard (11 Years) 11 Yrs

Mayfield Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	172	$234.08	$98.29
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$160.39	$70.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$348.00	$131.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$198.27	$77.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$223.00	$87.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	294	177	$227.00	$98.86
99213 Established patient office or other outpatient visit, typically 15 minutes	63	56	$154.00	$71.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$348.00	$131.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$223.00	$88.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	184	$227.00	$99.71
99213 Established patient office or other outpatient visit, typically 15 minutes	87	79	$154.00	$72.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$348.00	$134.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$223.00	$89.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$89.00	$44.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	199	$227.37	$103.26
99213 Established patient office or other outpatient visit, typically 15 minutes	72	67	$154.96	$72.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$348.00	$134.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$223.00	$90.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$89.00	$44.67
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$154.00	$58.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	199	$227.00	$87.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$348.00	$132.95
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$151.34	$59.07
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	19	19	$29.59	$11.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$223.00	$81.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$89.00	$36.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	483	267	$227.50	$85.96
99213 Established patient office or other outpatient visit, typically 15 minutes	126	107	$151.00	$59.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$347.99	$132.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$223.00	$86.67
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$154.00	$59.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$88.99	$35.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	215	$227.00	$85.61
99213 Established patient office or other outpatient visit, typically 15 minutes	131	115	$151.00	$58.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$348.00	$130.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$223.00	$84.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$89.00	$34.63
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$154.00	$59.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	193	$151.00	$56.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$348.00	$129.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	102	$227.00	$84.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	65	$89.00	$33.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$223.00	$84.24

Medical Specialties & State Licenses

CMS Verified: 2023-05-11

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3010642

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Pinelake Physician Practice Llc

1029 Medical Ctr Cir, Mayfield, KY 420661189

Phone: 2702514100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Sarah Wilson , APRN

Nurse Practitioner - Family

NPI 1144645441

Advanced Practice Registered Nurse

Dr. Ruben Cuadrado , MD

Internal Medicine - Gastroenterology

NPI 1902868532

Doctor of Medicine (M.D.)

Dr. Anita Torok , MD

Internal Medicine - Gastroenterology

NPI 1952595159

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

👤

Provider Name / Credentials Updated May 11, 2023

Recorded as HEATHER BALLARD, APRN

✅

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2016

Registered at 1029 MEDICAL CENTER CIR, SUITE 306, MAYFIELD, KY 420661189 (Tel: 2703514575)

📍

Updated Business Mailing Address August 30, 2016

Registered at 1029 MEDICAL CENTER CIR, SUITE 306, MAYFIELD, KY 420661189 (Tel: 2703514575)

👤

Provider Name / Credentials Updated August 30, 2016

Recorded as HEATHER LYELL, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Nurse Practitioner (License #3010642 in KY)

🟢

Initial NPI Registration & Enumeration August 30, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538615570

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2016

Last Update: May 11, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1029 Medical Center Cir, Suite 306

Mayfield, KY 420661189

Phone: 2703514575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.