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
- 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
- Code Navigator
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 TX | 601 E 15TH STREET AUSTIN, TX 78701 | (512) 324-7000 | Acute Care Hospitals | |
ASCENSION SETON HAYS | 6001 KYLE PKWY KYLE, TX 78640 | (512) 324-5000 | Acute Care Hospitals |
Reviews for CHELSEA SONES BALLARD PA C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
1 | 2 | 3 | 5 | 2 | 4 | 7 | 1 | 7 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 6 | 5 | 4 | 4 | 14 | 1 | 14 | |
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 = 2 | 2 |
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 |
---|---|---|---|
1457324816 | DR. MARK RAY DALTON M.D. Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759 (512) 439-1000 |
1497316434 | OLSV6 Organization | Orthopaedic Surgery | 4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759 (713) 799-2300 |
1316292220 | HAYLEY LAINE BELVEAL PT Individual | Physical Therapist | 4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759 (512) 439-1000 |
1215544887 | ORTHOLONESTAR, PLLC Organization | Orthopaedic Surgery | 4700 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 Practitioner | 4700 SETON CENTER PKWY STE 200 AUSTIN, TX 78759 (512) 439-1000 |
1811372410 | DR. LOGAN COOPER D.O. Individual | Orthopaedic Surgery | 4700 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 |
1003235078 | DR. 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 |
1528417698 | DR. 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 Therapist | 4700 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.