2026 NPPES data Orthodontics and Dentofacial Orthopedics Dentistry NPI 1083942627 DDS
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JAMES BALLOU, DDS

Orthodontics and Dentofacial Orthopedics Dentistry in LEWISVILLE, Texas. 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
19
Medicare Part D claims · 11 beneficiaries · Orthodontics and Dentofacial Orthopedics Dentistry avg: 48
Industry payments
$15.86
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES BALLOU, DDS filed 19 Medicare Part D claims in 2023 as a Orthodontics and Dentofacial Orthopedics Dentistry in LEWISVILLE, Texas.

19
Part D claims, 2023
$15.86
industry payments (Sunshine Act)

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.

JAMES BALLOU, DDS's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

19 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JAMES BALLOU, DDS?

Quality data not reported

NPI registry status

Active

Issued 11/19/2009

NPI 1083942627

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry

Mid-sized

12,396 US NPIs in this specialty

Medicare Part D claims

19 60% vs specialty avg

2023 prescription claims

Specialty avg: 48

Specialty distribution in Texas

How Orthodontics and Dentofacial Orthopedics Dentistry compares to other specialties among Texas providers

Texas providers

Orthodontics and Dentofacial Orthopedics Dentistry share within Texas

1. Orthodontics and Dentofacial Orthopedics Dentistry42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthodontics and Dentofacial Orthopedics Dentistry share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Orthodontics and Dentofacial Orthopedics Dentistry (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthodontics and Dentofacial Orthopedics Dentistry ABMS/AOA estimate

Est. board-certified rate (Orthodontics and Dentofacial Orthopedics Dentistry) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthodontics and Dentofacial Orthopedics Dentistry) — 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).

JAMES BALLOU, DDS appears in the CMS NPPES registry as a Orthodontics and Dentofacial Orthopedics Dentistry provider holding DDS credentials at 2520 KING ARTHUR BLVD STE 105, LEWISVILLE, TX, 75056, with a listed phone of (972) 899-1465. NPI 1083942627 was issued on 11/19/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLOU 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 19 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $114 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.

Orthodontics and Dentofacial Orthopedics Dentistry is a mid-sized specialty nationwide, with 12,396 enrolled providers across 54 states and an average of 48 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

2520 KING ARTHUR BLVD STE 105
LEWISVILLE, TX 75056

Provider Details

NPI 1083942627
Specialty Orthodontics and Dentofacial Orthopedics Dentistry
Credentials DDS
Gender Male
NPI Issued 11/19/2009

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 JAMES BALLOU, DDS. Source: openpaymentsdata.cms.gov.

Total received

$16

Largest payer

American Orthodontics Corporation

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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to JAMES BALLOU, DDS. To verify JAMES BALLOU, DDS's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

19
Total Claims
$114
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23
Total Day Supply
405
Brand Drug Cost
$0
Generic Drug Cost
$114
Antibiotic Claims
13

Patient Demographics

Average Patient Age
59.8 years
Avg HCC Risk Score
1.36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin
11

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

Orthodontics and Dentofacial Orthopedics Dentistry Overview

How JAMES BALLOU, DDS fits within the Orthodontics and Dentofacial Orthopedics Dentistry landscape nationally.

12,396
Orthodontics and Dentofacial Orthopedics Dentistry Providers in US
54
States with Orthodontics and Dentofacial Orthopedics Dentistry
48
Avg Claims per Provider

JAMES BALLOU, DDS's 19 claims are below the specialty average of 48.

Nearby Orthodontics and Dentofacial Orthopedics Dentistry Providers in Texas

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

Compare Orthodontics and Dentofacial Orthopedics Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BALLOU, DDS's specialty?
JAMES BALLOU, DDS specializes in Orthodontics and Dentofacial Orthopedics Dentistry and practices in LEWISVILLE, Texas. Credentials: DDS.
How much does JAMES BALLOU, DDS prescribe under Medicare Part D?
In 2023, JAMES BALLOU, DDS wrote 19 Medicare Part D claims totaling $114 in drug costs for 11 beneficiaries.
Where is JAMES BALLOU, DDS located?
JAMES BALLOU, DDS is located at 2520 KING ARTHUR BLVD STE 105, LEWISVILLE, TX, 75056. Phone: (972) 899-1465.
What is JAMES BALLOU, DDS's NPI number?
JAMES BALLOU, DDS's National Provider Identifier (NPI) is 1083942627, issued on 11/19/2009.
How many Orthodontics and Dentofacial Orthopedics Dentistry providers are there in the US?
There are 12,396 Orthodontics and Dentofacial Orthopedics Dentistry providers across 54 states in the US. The average Orthodontics and Dentofacial Orthopedics Dentistry provider writes 48 Medicare Part D claims per year.
What drugs does JAMES BALLOU, DDS prescribe most often?
Based on 2023 Medicare Part D data, JAMES BALLOU, DDS's most frequently prescribed drugs include Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BALLOU, DDS accept Medicare?
JAMES BALLOU, DDS appears in CMS Medicare data with 19 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BALLOU, DDS's credentials?
JAMES BALLOU, DDS's NPI is 1083942627 with credentials DDS. 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