2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1255424347 MD
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ROBERT BALLARD, MD

Sleep Medicine (Internal Medicine) Physician in LITTLETON, Colorado. 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
408
Medicare Part D claims · 86 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

ROBERT BALLARD, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 408 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
408
Part D claims, 2023
56%
generic prescribing
Likely
board-certified (heuristic)

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.

ROBERT BALLARD, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ROBERT BALLARD, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ROBERT BALLARD, MD?

Below national average

NPI registry status

Active

Issued 10/02/2006

NPI 1255424347

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

408 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Colorado providers

Colorado providers

Sleep Medicine (Internal Medicine) Physician share within Colorado

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Colorado

Medicare quality performance — MIPS

ROBERT BALLARD, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 75/100 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).

ROBERT BALLARD, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 15 W DRY CREEK CIR, LITTLETON, CO, 80120, with a listed phone of (303) 952-1100. NPI 1255424347 was issued on 10/02/2006. 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 408 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $150K in drug spend, split 44% brand-name and 56% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

15 W DRY CREEK CIR
LITTLETON, CO 80120

Provider Details

NPI 1255424347
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 10/02/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT BALLARD, 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.

COLORADO PULMONARY INTENSIVISTS PC
LITTLETON, CO
CRITICAL CARE PULMONARY AND SLEEP MEDICINE CONSULTANTS
LITTLETON, CO
POUDRE VALLEY MEDICAL GROUP LLC
DENVER, CO

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 · Above average

ROBERT BALLARD, MD — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 408 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.

408
Total Claims
$150K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
697
Total Day Supply
20,531
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$140K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.45
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What ROBERT BALLARD, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
62
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
54
Breo Ellipta
Fluticasone/Vilanterol
32
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
27
Ipratropium Bromide
26
Clonazepam
21
Gabapentin
21
Spiriva Respimat
Tiotropium Bromide
19
Ropinirole Hcl
18
Albuterol Sulfate Hfa
Albuterol Sulfate
16

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

Sleep Medicine (Internal Medicine) Physician Overview

How ROBERT BALLARD, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

ROBERT BALLARD, MD's 408 claims are below the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Colorado

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

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT BALLARD, MD's specialty?
ROBERT BALLARD, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in LITTLETON, Colorado. Credentials: MD.
How much does ROBERT BALLARD, MD prescribe under Medicare Part D?
In 2023, ROBERT BALLARD, MD wrote 408 Medicare Part D claims totaling $150K in drug costs for 86 beneficiaries.
What is ROBERT BALLARD, MD's Medicare quality score?
ROBERT BALLARD, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT BALLARD, MD located?
ROBERT BALLARD, MD is located at 15 W DRY CREEK CIR, LITTLETON, CO, 80120. Phone: (303) 952-1100.
What is ROBERT BALLARD, MD's NPI number?
ROBERT BALLARD, MD's National Provider Identifier (NPI) is 1255424347, issued on 10/02/2006.
Does ROBERT BALLARD, MD prescribe more brand-name or generic drugs?
ROBERT BALLARD, MD's prescribing is 44% brand-name and 56% generic drugs by claim count, with $140K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does ROBERT BALLARD, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT BALLARD, MD's most frequently prescribed drugs include Pramipexole Dihydrochloride, Trelegy Ellipta, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT BALLARD, MD accept Medicare?
ROBERT BALLARD, MD appears in CMS Medicare data with 408 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT BALLARD, MD's credentials?
ROBERT BALLARD, MD's NPI is 1255424347 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