NINA BALL MD
NPI 1194344739
Family Medicine in Englewood, CO

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
601 E HAMPDEN AVE STE 470, ENGLEWOOD, CO 80113(303) 788-3100(303) 788-3197 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Aug 12, 2021, Apr 14, 2020 (3 updates tracked since 2020).

About Nina Ball Md NPPES

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

NINA BALL MD (NPI 1194344739) is an individual family medicine provider in Englewood, Colorado, licensed in Colorado (71328) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Littleton, and is a graduate of University Of Colorado School Of Medicine, Aurora (2019).

NPPES Registry Identity

NPI1194344739
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNINA BALLCredential: MD
Location Address601 E HAMPDEN AVE STE 470Englewood, CO 80113-2797
Mailing Address601 E Hampden Ave Ste 470Englewood, CO 80113-2797 · (303) 788-3100 · Fax (303) 788-3197
Fax(303) 788-3197
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2019
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
NPI 1194344739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 71328
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.
601 E HAMPDEN AVE STE 470, Englewood, CO 80113

Secondary Practice Location 1

Location 1191 E Orchard Rd Ste 300Littleton, CO 80121-8058 · Phone (303) 788-3100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nina Ball Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860818911
PECOS Enrollment IDI20230913002154
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
181 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80113 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Family Medicine
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113

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 Nina Ball's NPI number?

The NPI number for Nina Ball is 1194344739. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Nina Ball located?

Nina Ball practices at 601 E Hampden Ave Ste 470, Englewood, CO 80113. The listed phone number is (303) 788-3100.

What is Nina Ball's specialty?

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

Is Nina Ball enrolled in Medicare?

Yes. Nina Ball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nina Ball was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.