PATRICK EARL BALL DO
NPI 1265884696
Internal Medicine in Middlesboro, KY

Active since July 09, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1530 US HIGHWAY 25 E, MIDDLESBORO, KY 40965(606) 654-9450(606) 302-4240 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, Jul 10, 2024 (2 updates tracked since 2024).

About Patrick Earl Ball Do NPPES

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

PATRICK EARL BALL DO (NPI 1265884696) is an individual internal medicine provider in Middlesboro, Kentucky, licensed in Kentucky (04472) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and maintains a secondary practice location in Middlesboro.

NPPES Registry Identity

NPI1265884696
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePATRICK EARL BALLCredential: DO
Location Address1530 US HIGHWAY 25 EMiddlesboro, KY 40965-1861
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823
Fax(606) 302-4240
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 9, 2016
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1265884696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 04472
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1530 US HIGHWAY 25 E, Middlesboro, KY 40965

Secondary Practice Location 1

Location 11540 US Highway 25 EMiddlesboro, KY 40965-1861 · Phone (606) 654-9450

Accepted 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

Patrick Earl Ball Do 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 ID3577821354
PECOS Enrollment IDI20190626002972, I20221212000994
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
99 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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
Quality100
Improvement Activities40
Cost89.05

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier19 claims19 services$67.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier102 claims102 services$20.22 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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
1 supplier106 claims106 services$114.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Primary Care)
1530 US HIGHWAY 25 E
MIDDLESBORO, KY 40965
Nurse Practitioner (Family)
1530 US HIGHWAY 25 E
MIDDLESBORO, KY 40965
Family Medicine
1530 US HIGHWAY 25 E
MIDDLESBORO, KY 40965

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 Patrick Ball's NPI number?

The NPI number for Patrick Ball is 1265884696. It was assigned to this individual provider in the NPPES registry on July 9, 2016.

Where is Patrick Ball located?

Patrick Ball practices at 1530 Us Highway 25 E, Middlesboro, KY 40965. The listed phone number is (606) 654-9450.

What is Patrick Ball's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick Ball enrolled in Medicare?

Yes. Patrick 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 Patrick Ball accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Patrick 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 Patrick Ball affiliated with any hospitals?

According to CMS data, Patrick Ball is affiliated with Middlesboro Arh Hospital, Harlan Arh Hospital and Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Patrick Ball was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.