2026 NPPES data Adult Congenital Heart Disease Physician NPI 1679540207 MD
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FORD BALLANTYNE, MD

Adult Congenital Heart Disease Physician in MADISON, Wisconsin. 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
1K
Medicare Part D claims · 130 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: FORD BALLANTYNE, MD is a Adult Congenital Heart Disease Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 1K claims across 130 beneficiaries — 14% brand-name prescribing .

What stands out: FORD BALLANTYNE, MD filed 1,152 Medicare Part D claims in 2023 across MADISON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

FORD BALLANTYNE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

FORD BALLANTYNE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/02/2006

NPI 1679540207

Primary specialty

Adult Congenital Heart Disease Physician

Rare

104 US NPIs in this specialty

Medicare Part D claims

1,152 40% vs specialty avg

2023 prescription claims

Specialty avg: 1,930

Specialty distribution in Wisconsin

How Adult Congenital Heart Disease Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Adult Congenital Heart Disease Physician share within Wisconsin

1. Adult Congenital Heart Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Congenital Heart Disease Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Adult Congenital Heart Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Congenital Heart Disease Physician ABMS/AOA estimate

Est. board-certified rate (Adult Congenital Heart Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Congenital Heart Disease Physician) — ABMS / AOA estimate

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).

FORD BALLANTYNE, MD is a Adult Congenital Heart Disease Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1679540207. 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.

FORD BALLANTYNE, MD appears in the CMS NPPES registry as a Adult Congenital Heart Disease Physician provider holding MD credentials at 600 HIGHLAND AVE, MADISON, WI, 53792, with a listed phone of (608) 263-1530. NPI 1679540207 was issued on 03/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLANTYNE 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 1,152 prescription claims written by this provider, covering 130 Medicare beneficiaries and totaling roughly $194K in drug spend, split 14% brand-name and 86% 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.

Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 104 enrolled providers across 31 states and an average of 1,930 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

600 HIGHLAND AVE
MADISON, WI 53792

Provider Details

NPI 1679540207
Specialty Adult Congenital Heart Disease Physician
Credentials MD
Gender Male
NPI Issued 03/02/2006

Hospital and facility affiliations

Facilities where FORD BALLANTYNE, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
MADISON, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

FORD BALLANTYNE, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,152 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.

1,152
Total Claims
$194K
Total Drug Cost
130
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,791
Total Day Supply
82,788
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$172K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.74
Gender Split
49% female / 51% male
Age Distribution
<65: 20, 65-74: 48, 75-84: 42, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Carvedilol
149
Eliquis
Apixaban
107
Spironolactone
98
Furosemide
70
Lisinopril
65
Chlorthalidone
63
Rosuvastatin Calcium
63
Metoprolol Succinate
59
Losartan Potassium
54
Clopidogrel
Clopidogrel Bisulfate
46

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

Adult Congenital Heart Disease Physician Overview

How FORD BALLANTYNE, MD fits within the Adult Congenital Heart Disease Physician landscape nationally.

104
Adult Congenital Heart Disease Physician Providers in US
31
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider

FORD BALLANTYNE, MD's 1,152 claims are below the specialty average of 1,930.

Nearby Adult Congenital Heart Disease Physician Providers in Wisconsin

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

Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FORD BALLANTYNE, MD's specialty?
FORD BALLANTYNE, MD specializes in Adult Congenital Heart Disease Physician and practices in MADISON, Wisconsin. Credentials: MD.
How much does FORD BALLANTYNE, MD prescribe under Medicare Part D?
In 2023, FORD BALLANTYNE, MD wrote 1,152 Medicare Part D claims totaling $194K in drug costs for 130 beneficiaries.
Where is FORD BALLANTYNE, MD located?
FORD BALLANTYNE, MD is located at 600 HIGHLAND AVE, MADISON, WI, 53792. Phone: (608) 263-1530.
What is FORD BALLANTYNE, MD's NPI number?
FORD BALLANTYNE, MD's National Provider Identifier (NPI) is 1679540207, issued on 03/02/2006.
Does FORD BALLANTYNE, MD prescribe more brand-name or generic drugs?
FORD BALLANTYNE, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $172K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US?
There are 104 Adult Congenital Heart Disease Physician providers across 31 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
What drugs does FORD BALLANTYNE, MD prescribe most often?
Based on 2023 Medicare Part D data, FORD BALLANTYNE, MD's most frequently prescribed drugs include Carvedilol, Eliquis, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FORD BALLANTYNE, MD accept Medicare?
FORD BALLANTYNE, MD appears in CMS Medicare data with 1,152 Part D claims and 130 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FORD BALLANTYNE, MD's credentials?
FORD BALLANTYNE, MD's NPI is 1679540207 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.
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