LYDIA RENE BALLARD (M.D.) – Internal Medicine Physician, NPI 1760483457

LYDIA RENE BALLARD (M.D.) is a healthcare provider. based in Norman, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 18425 (OK). The NPI Number for LYDIA RENE BALLARD (M.D.) is 1760483457

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA RENE BALLARD (M.D.)
NPI
1760483457
Phone
(405) 329-0121
Address
950 N PORTER AVE
Enumeration Date
3 August 2005
Last Update Date
15 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4053290121
Graduation Year
1992 (34 years ago)
PAC ID
2264461987
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20100823000140
Address ID
OK730716400NO950XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

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Provider Addresses for LYDIA RENE BALLARD (M.D.)

  • 950, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States

    SUITE #300

    NORMAN, OK 730716400

    Phone: (405) 329-0121

    Fax: (405) 292-6099

    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 6 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: PFIZER INC. ($71).

Total Amount

$111

General + Research + Ownership

Payments

6

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2010-08-23

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
I20100823000140IInternal MedicineOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes900509$0
99213Established patient office or other outpatient visit, 20-29 minutes567359$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit479479$0
G0008Administration of influenza virus vaccine229227$0
90662Influenza vaccine split virus, preservative free225223$0
View full utilization report →

Insurance plans in this area (ZIP 73071)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm LYDIA RENE BALLARD (M.D.)'s NPI?
Yes. LYDIA RENE BALLARD (M.D.) is listed with NPI 1760483457 in the public NPI dataset.
Can I rely on LYDIA RENE BALLARD (M.D.) being an active provider?
As of the registry snapshot, LYDIA RENE BALLARD (M.D.) is marked active.
What taxonomy line describes LYDIA RENE BALLARD (M.D.)?
For research purposes, treat LYDIA RENE BALLARD (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does LYDIA RENE BALLARD (M.D.) list a practice location?
Patients near Norman, Oklahoma may find LYDIA RENE BALLARD (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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