Active NPI
Erica Embry Ballard, MD
- Ophthalmology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2017018130
- Practice address
- 1229 E Seminole St Ste 430
Springfield, MO 65804 - Phone
- (417) 820-9393
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2017018130 | MO | Primary |
Addresses
Primary practice location
1229 E Seminole St Ste 430
Springfield, MO 65804
Mailing address
1229 E Seminole St Ste 430
Springfield, MO 65804-2227
Phone (417) 820-9393
Other practice location 1
One Hospital Dr.
Mason Eye Institute DC 052.00
Columbia, MO 65212
Phone (573) 882-1506
Other practice location 2
One Hospital Dr.
Mason Eye Institute DC 052.00
Columbia, MO 65212
Phone (573) 882-1506
Other practice location 3
One Hospital Dr.
Mason Eye Institute DC 052.00
Columbia, MO 65212
Phone (573) 882-1506
Other practice location 4
One Hospital Dr.
Mason Eye Institute DC 052.00
Columbia, MO 65212
Phone (573) 882-1506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170810000919 | MO | Practitioner - Ophthalmology | 6507091683 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Missouri, Columbia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
448 State Hwy 248
Suite 150
Branson, MO 65616-3725
Phone (417) 336-6713
Hospital & facility affiliations
- Mercy Hospital Springfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017018130 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Hospital Springfield | Past | Accepting new patients |
Locations
448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
3045 S National Ave
Springfield, MO 65804
Phone (417) 820-5260
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
MO
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1922447853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 E SEMINOLE ST STE 430",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042227",
"telephone_number": "417-820-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 E SEMINOLE ST STE 430",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-820-9393"
}
],
"practiceLocations": [
{
"address_1": "One Hospital Dr.",
"address_2": "Mason Eye Institute DC 052.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-882-1506",
"fax_number": "573-882-8474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "One Hospital Dr.",
"address_2": "Mason Eye Institute DC 052.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-882-1506",
"fax_number": "573-882-8474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "One Hospital Dr.",
"address_2": "Mason Eye Institute DC 052.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-882-1506",
"fax_number": "573-882-8474",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "One Hospital Dr.",
"address_2": "Mason Eye Institute DC 052.00",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-882-1506",
"fax_number": "573-882-8474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLARD",
"first_name": "ERICA",
"middle_name": "EMBRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2017018130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.