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Willie Benjamin Ballou , NP-C

Nurse Practitioner โ€ข Tempe, AZ

Active NPI 1548657802 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4041 S Mcclintock Dr
Tempe, AZ 852825879

Call 5202337111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4041 S Mcclintock Dr

Tempe, AZ 852825879

Telephone 5202337111
Organization at the Same NPPES Address or Phone
Adobe Care And Wellness New Mexico Llc Facility NPI 1922716703

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Houston, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Medicare patients

289 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $248,960 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $198,241 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

290 standardized 30-day fills in 2017

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,082 in 2017

The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2017.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Willie Ballou has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Willie Ballou as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tempe and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Tempe, AZ (2024, 14 clinicians with data). Median for this group: 325. Middle half: 50 to 1,091.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: 304. Middle half: 114 to 768.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Tempe, AZ (2024, 14 clinicians with data). Median for this group: $20,209. Middle half: $3,814 to $99,919.

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $24,217. Middle half: $9,430 to $60,508.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Tempe, AZ (2024, 14 clinicians with data). Median for this group: $14,520. Middle half: $2,882 to $78,693.

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $17,824. Middle half: $6,512 to $45,984.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Willie Ballou are from 2017.

34 active clinicians are listed under Nurse Practitioner with a practice address in Tempe, AZ (1,430 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tempe

14.7% of these 34 clinicians have the CMS telehealth indicator.

44.1% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
1,451 247 $180.00 $60.88
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
1,428 242 $115.00 $39.17
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
1,428 242 $145.00 $51.28
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
239 92 $175.00 $31.93
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
199 117 $225.00 $39.60
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
120 86 $250.00 $36.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
79 79 $250.00 $109.15
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
51 51 $150.00 $51.40
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
17 17 $150.00 $16.12

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2017.

CMS Part D ยท Data Year 2017
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 20 1,740 $424.76 11
Lisinopril Lisinopril 15 1,290 $80.00 โ€”
Simvastatin Simvastatin 15 1,290 $91.11 โ€”
Atorvastatin Calcium Atorvastatin Calcium 15 1,320 $151.02 โ€”
Pravastatin Sodium Pravastatin Sodium 15 900 $258.99 โ€”
Amlodipine Besylate Amlodipine Besylate 14 1,260 $28.18 โ€”
Metformin Hcl Er Metformin Hcl 11 870 $48.33 โ€”

Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES AZ 229136

(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.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

License # reported to NPPES TX AP127755
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260204004529

Enrollment State Jurisdiction

CA

PECOS Control ID

4385908086

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2718 Skyview Point Dr, None

Houston, TX 770478122

Phone: 2819086346

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Tayler Lewis , FNP

Nurse Practitioner - Family

NPI 1679028252

Family Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location July 07, 2021

Registered at 4041 S MCCLINTOCK DR, TEMPE, AZ 852825879 (Tel: 5202337111)

๐Ÿ“
Updated Business Mailing Address July 07, 2021

Registered at 4041 S MCCLINTOCK DR, STE 311, TEMPE, AZ 852825879 (Tel: 5202337111)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Nurse Practitioner (license number reported to NPPES: AZ 229136)

โœ…
NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 23, 2015

Registered at 2718 SKYVIEW POINT DR, NONE, HOUSTON, TX 770478122 (Tel: 2819086346)

๐Ÿ“
Business Mailing Address (Initial Record) April 23, 2015

Registered at 2718 SKYVIEW POINT DR, NONE, HOUSTON, TX 770478122 (Tel: 2819086346)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 23, 2015

Recorded as WILLIE BALLOU, NP-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Nurse Practitioner (license number reported to NPPES: TX AP127755)

๐ŸŸข
Initial NPI Registration & Enumeration April 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548657802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2015
Last Update: July 07, 2021
Sole Proprietor: No

Other Nurse Practitioners in Tempe

All Nurse Practitioners in Tempe

Mailing Address

4041 S Mcclintock Dr, Ste 311

Tempe, AZ 852825879

Phone: 5202337111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.