CHARLES A BALL M.D.
NPI 1154344836
Family Medicine in Columbia, TN

Q: What is Charles Ball's NPI number?

The NPI number for Charles Ball is 1154344836. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Charles Ball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Ball was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2006PECOS Enrolled

75/100

CMS Quality Rating

854 W JAMES CAMPBELL BLVD, SUITE 403, COLUMBIA, TN 38401(931) 380-0075(931) 388-7502 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charles A Ball M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A BALL M.D. (NPI 1154344836) is an individual family medicine provider in Columbia, Tennessee, licensed in Tennessee (10356) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154344836

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLES A BALLCredential: M.D.

Location Address854 W JAMES CAMPBELL BLVD, SUITE 403Columbia, TN 38401-4659

Mailing Address854 W James Campbell Blvd, Suite 303Columbia, TN 38401-4659 · (931) 540-4255 · Fax (931) 388-7502

Phone(931) 380-0075

Fax(931) 388-7502

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateMarch 8, 2016

✔ NPI 1154344836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 10356

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

854 W JAMES CAMPBELL BLVD, Columbia, TN 38401

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Other Identifiers 11

Medicare PIN080177463TN

Medicare PIN3172058

Medicare PIN3732438

Other4131683TN · Bcbst

Other4119142TN · Bcbst

Medicare PIN3710089

Medicare UPINB03505TN

Medicaid3172059TN

Medicaid3710089TN

Medicare PIN3172059TN

Medicare PINCE0561TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles A Ball M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

521 services216 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

253 services77 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

206 services191 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

34 services34 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

25 services24 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier11 claims11 services$8.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims17 services$113.77 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier24 claims24 services$38.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANY NIMR REZK M.D.

Internal Medicine (Nephrology)

854 W JAMES CAMPBELL BLVD, STE. 101A
COLUMBIA, TN 38401

Maury County (931) 388-3209

FAMILY THERAPY CENTER

Counselor (Mental Health)

854 W JAMES CAMPBELL BLVD
COLUMBIA, TN 38401

Maury County (931) 490-0999

THOMAS W FARMER M.D.

Family Medicine

854 W JAMES CAMPBELL BLVD, SUITE 403
COLUMBIA, TN 38401

Maury County (931) 380-0075

MRS. NINA ELIZABETH BOSHERS LMFT

Marriage & Family Therapist

854 W JAMES CAMPBELL BLVD, SUITE 201
COLUMBIA, TN 38401

Maury County (931) 490-0999

HOPE CARLANDE WEBB PA

Nurse Practitioner (Family)

854 W JAMES CAMPBELL BLVD, SUITE 404
COLUMBIA, TN 38401

Maury County (931) 381-2500

DR. CHERYL BUTTRAM CLAYTON MD

Internal Medicine (Nephrology)

854 W JAMES CAMPBELL BLVD, STE. 101A
COLUMBIA, TN 38401

Maury County (931) 388-3209

FAMILY HEALTH GROUP INC

Anesthesiology

854 W JAMES CAMPBELL BLVD
COLUMBIA, TN 38401

Maury County (931) 540-4255

MICHELLE LYNN KENNEDY APRN, FNP-C

Nurse Practitioner (Family)

854 W JAMES CAMPBELL BLVD, SUITE 100
COLUMBIA, TN 38401

Maury County (931) 490-7050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ball's NPI number?

The NPI number for Charles Ball is 1154344836. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Charles Ball located?

Charles Ball practices at 854 W James Campbell Blvd Suite 403, Columbia, TN 38401. The listed phone number is (931) 380-0075.

What is Charles Ball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Ball enrolled in Medicare?

Yes. Charles Ball is registered in the Medicare PECOS enrollment system.

What insurance does Charles Ball accept?

Health plans from UnitedHealthcare list Charles Ball as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Ball was last updated on March 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.