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DR. VALERIE A BALL M.D.
NPI 1205993680
Otolaryngology in Avon, IN

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
37.77/100
CMS Quality Rating
1115 NORTH RONALD REAGAN PARKWAY, SUITE 225, AVON, IN 46123(317) 844-7059(317) 819-0044 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2024, Jun 18, 2021 (2 updates tracked since 2021).

About Dr. Valerie A Ball M.d. NPPES

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

DR. VALERIE A BALL M.D. (NPI 1205993680) is an individual otolaryngology provider in Avon, Indiana, licensed in Indiana (01042630A) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Indiana University School Of Medicine (1997).

NPPES Registry Identity

NPI1205993680
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. VALERIE A BALLCredential: M.D.
Location Address1115 NORTH RONALD REAGAN PARKWAY, SUITE 225Avon, IN 46123-6913
Mailing Address10201 N Illinois St Ste 110Carmel, IN 46290-1172 · (317) 844-7059 · Fax (317) 819-0044
Phone(317) 844-7059
Fax(317) 819-0044
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1997
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2024
✔ NPI 1205993680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IN · 01042630A
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1115 NORTH RONALD REAGAN PARKWAY, Avon, IN 46123
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Other Identifiers 2

Other040010612IN · Medicare Railroad
Medicaid200127690IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Valerie A Ball M.d. 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 ID1254467087
PECOS Enrollment IDI20100331000085
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 4

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.
465 services302 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
113 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
91 services91 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
44 services43 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

37.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35
Promoting Interoperability0
Improvement Activities0
Cost90.91

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 Valerie Ball's NPI number?

The NPI number for Valerie Ball is 1205993680. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Valerie Ball located?

Valerie Ball practices at 1115 North Ronald Reagan Parkway Suite 225, Avon, IN 46123. The listed phone number is (317) 844-7059.

What is Valerie Ball's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Valerie Ball enrolled in Medicare?

Yes. Valerie 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.

What insurance does Valerie Ball accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Valerie 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.

Is Valerie Ball affiliated with any hospitals?

According to CMS data, Valerie Ball is affiliated with Community Howard Regional Health Inc., Ascension St Vincent Kokomo, Indiana University Health, Iu Health West Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Ball was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.