NPPES file of Aug 9, 2026

Michele K. Ballou, MD

Pulmonary Disease Physician · Low Moor, VA

Michele K. Ballou, MD is a pulmonary disease physician with a practice address in Low Moor, Virginia, and NPI 1730184789, issued on Jun 16, 2005. Check the license (Virginia 0101036698, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1730184789
Name
Michele K. Ballou
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
0101036698 VA
Self-reported in NPPES; status is on the state search
Practice location
200 Arh Lane, Low Moor, VA 24457
Phone
(540) 862-6710
Enumerated
Jun 16, 2005
Record last updated
Feb 8, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(540) 862-9167
Medicaid ID
006099483 VA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 200 Arh Lane

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Demetria Bates, DNP, FNP-BCFamily Nurse Practitioner1912474511
  2. Barry Brown, DOInternal Medicine Physician1184628737
  3. Timothy Miller, PAPhysician Assistant1659343572

Verify Michele K. Ballou in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101036698
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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82% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

262 Medicare Part D claims for 121 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. Michele Ballou262
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta20 claims
  2. Albuterol Sulfate Hfa15 claims
  3. Montelukast Sodium15 claims
  4. Bupropion Hcl Sr14 claims
  5. Letrozole13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Michele K. Ballou among 386 pulmonary disease physician records in Virginia

Michele K. Ballou, MD is one of 386 pulmonary disease physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileNo · 65% of these records are
  • Record last updated2019 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 pulmonary disease physician record lists a practice address in Low Moor

They are 1 of the 52 NPPES records with a practice address in Low Moor, and 386 pulmonary disease physician records in Virginia.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Kristopher Arndt, M.D.Lynchburg, VA 245011881147056
  2. Albert Baker, M.D.Lynchburg, VA 245011619904034
  3. Carol Driskill, N.P.Lynchburg, VA 245011861420002
  4. Lisa Geier, N.P.Lynchburg, VA 245011114954161
  5. Sarah Hellewell, M.D.Lynchburg, VA 245011396773586
  6. Joseph Khoury, M.D.Lynchburg, VA 245011053357053
  7. Afua Kunadu, M.DLynchburg, VA 245011740664291
  8. Michael Milam, M.D.Lynchburg, VA 245011588692891

Common questions

What is Michele K. Ballou, MD's NPI number?

Michele K. Ballou, MD's National Provider Identifier (NPI) is 1730184789, issued on Jun 16, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Michele K. Ballou, MD located?

The NPPES record lists a practice address at 200 Arh Lane, Low Moor, VA, 24457. Phone: (540) 862-6710. Providers update this record themselves, so call before visiting.

How can I verify Michele K. Ballou, MD's license?

NPPES lists Virginia license number 0101036698, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michele K. Ballou, MD prescribe under Medicare Part D?

In 2024, Michele K. Ballou, MD had 262 Medicare Part D claims for 121 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Michele K. Ballou, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.