DR. ALICIA LYNN BALLARD (D.O.) – Orthopaedic Surgery Physician, NPI 1093059388

DR. ALICIA LYNN BALLARD (D.O.) is a healthcare provider. based in Ionia, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101019555 (MI). The NPI Number for DR. ALICIA LYNN BALLARD (D.O.) is 1093059388

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALICIA LYNN BALLARD (D.O.)
NPI
1093059388
Phone
(616) 523-1010
Address
537 W. MAIN ST SUITE 102,
Enumeration Date
27 November 2012
Last Update Date
13 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6165231600
Graduation Year
2011 (15 years ago)
PAC ID
2769775840
Group Practice PAC ID
0042118887
Professional Enrollment ID
I20160727000750
Address ID
MI488469416IO3565XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,082 ORTHOPEDIC SURGERY in MI

Provider Addresses for DR. ALICIA LYNN BALLARD (D.O.)

  • 537 W. MAIN ST SUITE 102,

    IONIA, MI 48846

    Phone: (616) 523-1010

    Fax: (616) 527-1131

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Medwest Associates ($129).

Total Amount

$203

General + Research + Ownership

Payments

3

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160727000750IOrthopedic SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20629$0
20610Aspiration and/or injection of fluid from large joint3723$0
99213Established patient office or other outpatient visit, 20-29 minutes3026$0
99214Established patient office or other outpatient visit, 30-39 minutes2523$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48846)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042118887View full group profile
NameSpecialtyState
-MI
-MI
Nurse PractitionerMI
Hand Surgery, Plastic And Reconstructive SurgeryMI
G A S T R O E N T E R O L O G YMI
Nurse PractitionerMI
General SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

How do I look up DR. ALICIA LYNN BALLARD (D.O.) by NPI?
Use NPI 1093059388 when you need to reference DR. ALICIA LYNN BALLARD (D.O.) in forms, claims, or directories.
Is DR. ALICIA LYNN BALLARD (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. ALICIA LYNN BALLARD (D.O.) work in?
You can think of DR. ALICIA LYNN BALLARD (D.O.) as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ALICIA LYNN BALLARD (D.O.)?
The snapshot lists Ionia, Michigan for DR. ALICIA LYNN BALLARD (D.O.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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