2026 NPPES data Primary Podiatric Medicine Podiatrist NPI 1356350201 D.P.M
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BALLARD BLAIR, D.P.M

Primary Podiatric Medicine Podiatrist in SHELTON, Connecticut. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
435
Medicare Part D claims · 149 beneficiaries · Primary Podiatric Medicine Podiatrist avg: 322
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]

What the federal data shows

BALLARD BLAIR, D.P.M reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 435 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
435
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BALLARD BLAIR, D.P.M's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about BALLARD BLAIR, D.P.M?

Below national average

NPI registry status

Active

Issued 08/07/2006

NPI 1356350201

Primary specialty

Primary Podiatric Medicine Podiatrist

Niche

1,077 US NPIs in this specialty

Medicare Part D claims

435 35% vs specialty avg

2023 prescription claims

Specialty avg: 322

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Connecticut

How Primary Podiatric Medicine Podiatrist compares to other specialties among Connecticut providers

Connecticut providers

Primary Podiatric Medicine Podiatrist share within Connecticut

1. Primary Podiatric Medicine Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Podiatric Medicine Podiatrist share within Connecticut

Medicare quality performance — MIPS

BALLARD BLAIR, D.P.M's 2023 MIPS final score plotted against the Primary Podiatric Medicine Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Podiatric Medicine Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Primary Podiatric Medicine Podiatrist) — 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BALLARD BLAIR, D.P.M appears in the CMS NPPES registry as a Primary Podiatric Medicine Podiatrist provider holding D.P.M credentials at 375 BRIDGEPORT AVE, SHELTON, CT, 06484, with a listed phone of (203) 929-5559. NPI 1356350201 was issued on 08/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLAIR most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 435 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $24K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Primary Podiatric Medicine Podiatrist is a narrow specialty nationwide, with 1,077 enrolled providers across 50 states and an average of 322 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

375 BRIDGEPORT AVE
SHELTON, CT 06484

Provider Details

NPI 1356350201
Specialty Primary Podiatric Medicine Podiatrist
Credentials D.P.M
Gender Male
NPI Issued 08/07/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

435
Total Claims
$24K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
460
Total Day Supply
11,777
Generic Drug Cost
$12K
Antibiotic Claims
43

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.86
Gender Split
58% female / 42% male
Age Distribution
<65: 20, 65-74: 52, 75-84: 53, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BALLARD BLAIR, D.P.M prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pregabalin
132
Gabapentin
61
Ammonium Lactate
39
Cefadroxil
35
Mupirocin
23
Terbinafine Hcl
23
Clotrimazole
19
Meloxicam
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Primary Podiatric Medicine Podiatrist Overview

How BALLARD BLAIR, D.P.M fits within the Primary Podiatric Medicine Podiatrist landscape nationally.

1,077
Primary Podiatric Medicine Podiatrist Providers in US
50
States with Primary Podiatric Medicine Podiatrist
322
Avg Claims per Provider

BALLARD BLAIR, D.P.M's 435 claims are above the specialty average of 322.

Nearby Primary Podiatric Medicine Podiatrist Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as BLAIR.

Compare Primary Podiatric Medicine Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is BALLARD BLAIR, D.P.M's specialty?
BALLARD BLAIR, D.P.M specializes in Primary Podiatric Medicine Podiatrist and practices in SHELTON, Connecticut. Credentials: D.P.M.
How much does BALLARD BLAIR, D.P.M prescribe under Medicare Part D?
In 2023, BALLARD BLAIR, D.P.M wrote 435 Medicare Part D claims totaling $24K in drug costs for 149 beneficiaries.
What is BALLARD BLAIR, D.P.M's Medicare quality score?
BALLARD BLAIR, D.P.M has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BALLARD BLAIR, D.P.M located?
BALLARD BLAIR, D.P.M is located at 375 BRIDGEPORT AVE, SHELTON, CT, 06484. Phone: (203) 929-5559.
What is BALLARD BLAIR, D.P.M's NPI number?
BALLARD BLAIR, D.P.M's National Provider Identifier (NPI) is 1356350201, issued on 08/07/2006.
How many Primary Podiatric Medicine Podiatrist providers are there in the US?
There are 1,077 Primary Podiatric Medicine Podiatrist providers across 50 states in the US. The average Primary Podiatric Medicine Podiatrist provider writes 322 Medicare Part D claims per year.
What drugs does BALLARD BLAIR, D.P.M prescribe most often?
Based on 2023 Medicare Part D data, BALLARD BLAIR, D.P.M's most frequently prescribed drugs include Pregabalin, Gabapentin, Ammonium Lactate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BALLARD BLAIR, D.P.M accept Medicare?
BALLARD BLAIR, D.P.M appears in CMS Medicare data with 435 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BALLARD BLAIR, D.P.M's credentials?
BALLARD BLAIR, D.P.M's NPI is 1356350201 with credentials D.P.M. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology