2026 NPPES data Physician Assistant NPI 1265013759
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HALEY BALLARD

Physician Assistant in ASHEVILLE, North Carolina. 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
779
Medicare Part D claims · 229 beneficiaries · Physician Assistant avg: 790
MIPS score
93.5111/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$515.71
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HALEY BALLARD is a Physician Assistant ([object Object]) practicing in ASHEVILLE, North Carolina with a Medicare Part D prescribing footprint of 779 claims across 229 beneficiaries . Their CMS MIPS Final Score of 93.5111/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $515.71 across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HALEY BALLARD reported a CMS MIPS final score of 93.5111 out of 100, above the 83.1 national average, and filed 779 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HALEY BALLARD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/16/2021

NPI 1265013759

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

779 1% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

93.5111/100 10.411100000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Medicare quality performance — MIPS

HALEY BALLARD's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
93.5111/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 93.5111/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Physician Assistant) — 93.5111/100 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).

HALEY BALLARD is a Physician Assistant provider practicing in ASHEVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1265013759. 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.

HALEY BALLARD appears in the CMS NPPES registry as a Physician Assistant provider at 4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803, with a listed phone of (828) 258-9533. NPI 1265013759 was issued on 04/16/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLARD 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 779 prescription claims written by this provider, covering 229 Medicare beneficiaries and totaling roughly $312K in drug spend, with an opioid prescribing rate of 7.2%. 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 93.5111/100 for the 2023 performance year (Quality 84.2392), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

4 VANDERBILT PARK DR STE 200
ASHEVILLE, NC 28803

Provider Details

NPI 1265013759
Specialty Physician Assistant
Gender Female
NPI Issued 04/16/2021

CMS Quality Score (MIPS)

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

93.5111
Final Score
Avg: 83.1
84.2392
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HALEY BALLARD 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.

ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER PA
ASHEVILLE, NC

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

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 HALEY BALLARD. Source: openpaymentsdata.cms.gov.

Total received

$516

Largest payer

ABBVIE INC.

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.

Medicare Part D Prescribing Data

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

779
Total Claims
$312K
Total Drug Cost
229
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,101
Total Day Supply
31,259
Generic Drug Cost
$15K
Opioid Claims
56 (7.2% rate)

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.42
Gender Split
78% female / 22% 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
Hydroxychloroquine Sulfate
198
Prednisone
183
Alendronate Sodium
62
Methotrexate
Methotrexate Sodium
58
Gabapentin
27
Humira(Cf) Pen
Adalimumab
24
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Tramadol Hcl
20
Allopurinol
16
Sulfasalazine
15

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

Physician Assistant Overview

How HALEY BALLARD fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

HALEY BALLARD's 779 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

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

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

Frequently Asked Questions

What is HALEY BALLARD's specialty?
HALEY BALLARD specializes in Physician Assistant and practices in ASHEVILLE, North Carolina.
How much does HALEY BALLARD prescribe under Medicare Part D?
In 2023, HALEY BALLARD wrote 779 Medicare Part D claims totaling $312K in drug costs for 229 beneficiaries.
What is HALEY BALLARD's Medicare quality score?
HALEY BALLARD has a CMS MIPS Final Score of 93.5111/100 (Quality: 84.2392). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HALEY BALLARD located?
HALEY BALLARD is located at 4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803. Phone: (828) 258-9533.
What is HALEY BALLARD's NPI number?
HALEY BALLARD's National Provider Identifier (NPI) is 1265013759, issued on 04/16/2021.
Does HALEY BALLARD prescribe opioids?
Yes, HALEY BALLARD had 56 opioid claims in 2023 with an opioid prescribing rate of 7.2%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does HALEY BALLARD prescribe most often?
Based on 2023 Medicare Part D data, HALEY BALLARD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HALEY BALLARD accept Medicare?
HALEY BALLARD appears in CMS Medicare data with 779 Part D claims and 229 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HALEY BALLARD's credentials?
HALEY BALLARD's NPI is 1265013759. 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