2026 NPPES data Gastroenterology Physician NPI 1245215953 MD
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DAVID BALLARD, III, MD

Gastroenterology Physician in MARIETTA, Georgia. 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
50
Medicare Part D claims · 23 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$22.82
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID BALLARD, III, MD is a Gastroenterology Physician ([object Object]) practicing in MARIETTA, Georgia with a Medicare Part D prescribing footprint of 50 claims across 23 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 92.9348/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $22.82 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID BALLARD, III, MD reported a CMS MIPS final score of 92.9348 out of 100, above the 83.1 national average, and filed 50 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DAVID BALLARD, III, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DAVID BALLARD, III, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/14/2005

NPI 1245215953

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

50 94% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Georgia

Medicare quality performance — MIPS

DAVID BALLARD, III, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Gastroenterology Physician) — 92.9348/100 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).

DAVID BALLARD, III, MD is a Gastroenterology Physician provider practicing in MARIETTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245215953. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DAVID BALLARD, III, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 711 CANTON RD NE, MARIETTA, GA, 30060, with a listed phone of (770) 429-0031. NPI 1245215953 was issued on 12/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLARD, III 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 50 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $20K in drug spend, split 24% brand-name and 76% generic by claim count. 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 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

711 CANTON RD NE
MARIETTA, GA 30060

Provider Details

NPI 1245215953
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 12/14/2005

CMS Quality Score (MIPS)

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

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DAVID BALLARD, III, MD. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Cook Medical LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

DAVID BALLARD, III, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 50 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

50
Total Claims
$20K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
92
Total Day Supply
2,562
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$18K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.23
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Claim-Specialty
Omeprazole
N/A

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

Gastroenterology Physician Overview

How DAVID BALLARD, III, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

DAVID BALLARD, III, MD's 50 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BALLARD, III.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID BALLARD, III, MD's specialty?
DAVID BALLARD, III, MD specializes in Gastroenterology Physician and practices in MARIETTA, Georgia. Credentials: MD.
How much does DAVID BALLARD, III, MD prescribe under Medicare Part D?
In 2023, DAVID BALLARD, III, MD wrote 50 Medicare Part D claims totaling $20K in drug costs for 23 beneficiaries.
What is DAVID BALLARD, III, MD's Medicare quality score?
DAVID BALLARD, III, MD has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID BALLARD, III, MD located?
DAVID BALLARD, III, MD is located at 711 CANTON RD NE, MARIETTA, GA, 30060. Phone: (770) 429-0031.
What is DAVID BALLARD, III, MD's NPI number?
DAVID BALLARD, III, MD's National Provider Identifier (NPI) is 1245215953, issued on 12/14/2005.
Does DAVID BALLARD, III, MD prescribe more brand-name or generic drugs?
DAVID BALLARD, III, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $18K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does DAVID BALLARD, III, MD prescribe most often?
Based on 2023 Medicare Part D data, DAVID BALLARD, III, MD's most frequently prescribed drugs include Claim-Specialty. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID BALLARD, III, MD accept Medicare?
DAVID BALLARD, III, MD appears in CMS Medicare data with 50 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID BALLARD, III, MD's credentials?
DAVID BALLARD, III, MD's NPI is 1245215953 with credentials MD. 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