CHELSEA SONES BALLARD PA C
NPI 1235247172
Physician Assistant - Surgical in Austin, TX

NPI Status: Active since August 29, 2006

Contact Information

4700 SETON CENTER PKWY STE 200
AUSTIN, TX
ZIP 78759
Phone: (512) 439-1000
Fax: (512) 439-1081

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  • Individual
  • Female
  • Years of Experience 23
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About CHELSEA BALLARD

This page provides the complete NPI Profile along with additional information for Chelsea Ballard, a provider established in Austin, Texas with a medical specialization in Physician Assistant, focusing in surgical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1235247172 assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA04854 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1235247172
Provider Name
CHELSEA SONES BALLARD PA C
Gender
Female
Entity Type
Individual
Location Address
4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759
Location Phone
(512) 439-1000
Location Fax
(512) 439-1081
Mailing Address
4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759
Mailing Phone
(512) 439-1000
Mailing Fax
(512) 439-1081
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
08-29-2006
Last Update Date
04-26-2022
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Location Map

Secondary Locations

  • 911 W 38th St Ste 300
    Austin, TX 78705
    (512) 439-1000
  • 4215 Benner Ste 300
    Kyle, TX 78640
    (512) 439-1000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA04854
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Imperial Preferred Bronze - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Gold Zero - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Chelsea Ballard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Chelsea Ballard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4688697964

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070126000559

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 10% 29
Documentation of Current Medications in the Medical Record 23% 44

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Chelsea Ballard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DELL SETON MED CENTER AT THE UNIVERSITY OF TX601 E 15TH STREET
AUSTIN, TX 78701
(512) 324-7000Acute Care Hospitals
ASCENSION SETON HAYS6001 KYLE PKWY
KYLE, TX 78640
(512) 324-5000Acute Care Hospitals

Reviews for CHELSEA SONES BALLARD PA C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235247172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22654414114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 4 + 1 + 4 + 1 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1235247172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457324816DR. MARK RAY DALTON M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1497316434OLSV6
Organization
Orthopaedic Surgery4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(713) 799-2300
1316292220 HAYLEY LAINE BELVEAL PT
Individual
Physical Therapist4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1215544887ORTHOLONESTAR, PLLC
Organization
Orthopaedic Surgery4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1528671922 GABRIELA AIDA QUINTERO APRN
Individual
Nurse Practitioner (Family)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1124632070 JORDAN PRESCOTT
Individual
Nurse Practitioner4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1811372410DR. LOGAN COOPER D.O.
Individual
Orthopaedic Surgery4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1831797018 ELIZABETH LYNN STEVIE APRN
Individual
Clinical Nurse Specialist (Adult Health)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1306336862 CHRISTIN LAUREN P CUMMINS GRIGSBY PA-C
Individual
Physician Assistant (Surgical)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1003235078DR. WILLIAM PARKER ABBLITT M.D.
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1396895579 MEGAN PASSE NP-C
Individual
Nurse Practitioner (Family)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1528417698DR. BLAKE RYAN TURVEY M.D.
Individual
Orthopaedic Surgery (Orthopaedic Trauma)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1083342240 CAROLINE MCCOY PT, DPT
Individual
Physical Therapist4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1940
1922481803 JAMES TODD WALKER
Individual
Orthopaedic Surgery (Sports Medicine)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1841297843 OKAY ATILLA ONAN M.D.
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)4700 SETON CENTER PKWY STE 200 SUITE 200
AUSTIN, TX 78759
(512) 439-1000
1275647695 LISA ANNE CRONIN PA-C
Individual
Physician Assistant (Surgical)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1164082731 JOSHUA RYAN BROOKS
Individual
Physician Assistant (Surgical)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1407242308 ALEX CRUZ MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000
1699499913 BRINLEY CHRISTINE CRUMLEY PA-C, MMS
Individual
Physician Assistant (Surgical)4700 SETON CENTER PKWY STE 200
AUSTIN, TX 78759
(512) 439-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235247172, enumerated in the NPI registry as an "individual" on August 29, 2006

The provider is located at 4700 Seton Center Pkwy Ste 200 Austin, Tx 78759 and the phone number is (512) 439-1000

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider has more than 23 years of experience.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): DELL SETON MED CENTER AT THE UNIVERSITY OF TX and ASCENSION SETON HAYS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.