Active NPI
Brooke Laura Ballard, M.D.
- Orthopaedic Surgery Physician
- San Marcos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A104161
- Practice address
- 277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976 - Phone
- (760) 750-1902
- Fax
- (760) 750-1906
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A104161 | CA | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | TRN#17204 | FL |
Addresses
Primary practice location
277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976
Mailing address
277 Rancheros Dr Ste 101
San Marcos, CA 92069-2976
Phone (760) 750-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
277 Rancheros Dr
Suite 101
San Marcos, CA 92069-2976
Phone (750) 760-1902
Hospital & facility affiliations
- Scripps Memorial Hospital - Encinitas
- Palomar Health Downtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A104161 | CA | MD | Orthopaedic Surgery Physician |
| TRN#17204 | FL | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serge Kaska, M.D., Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| San Diego Shoulder to Fingertips Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
277 Rancheros Dr
Ste 101
San Marcos, CA 92069
Phone (760) 420-2331
277 Rancheros Dr
#101
San Marcos, CA 92069
Phone (750) 760-1902
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- brooke.ballard@1417.chartlogic.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- San Marcos, CA
- NPI 1639980659
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Orthopaedic Surgery Physician
- San Marcos, CA
- NPI 1396863973
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1841447950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 RANCHEROS DR STE 101",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692976",
"telephone_number": "760-750-1902",
"fax_number": "760-750-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 RANCHEROS DR STE 101",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692976",
"telephone_number": "760-750-1902",
"fax_number": "760-750-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "BROOKE",
"middle_name": "LAURA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A104161",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "TRN#17204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.