DR. ADAM J BALL M.D.
NPI 1366438517
Urology in Port St Lucie, FL

Q: What is Adam Ball's NPI number?

The NPI number for Adam Ball is 1366438517. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Adam Ball's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Ball was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

96.82/100

CMS Quality Rating

579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986(772) 465-2020(772) 465-2111 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

On this page

About Dr. Adam J Ball M.d. NPPES

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

DR. ADAM J BALL M.D. (NPI 1366438517) is an individual urology provider in Port St Lucie, Florida, licensed in Florida (ME88543) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1999).

NPPES Registry Identity

NPI1366438517

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ADAM J BALLCredential: M.D.

Location Address579 NW LAKE WHITNEY PL STE 105Port St Lucie, FL 34986-1622

Mailing Address579 Nw Lake Whitney Pl Ste 105Port St Lucie, FL 34986-1622 · (772) 465-2020 · Fax (772) 465-2111

Phone(772) 465-2020

Fax(772) 465-2111

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1999

Enumeration DateSeptember 23, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1366438517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in FL · ME88543

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedHospitalistTaxonomy 208M00000X · License ME88543 (FL)

579 NW LAKE WHITNEY PL STE 105, Port St Lucie, FL 34986

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Other Identifiers 1

OtherPENDINGFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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. Adam J 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 ID6002891918

PECOS Enrollment IDI20050805000602

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 19

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.

776 services577 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

324 services275 patients

Insertion of lower leg neurostimulator electrode 64566

The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.

319 services36 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.

282 services233 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.

245 services245 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

146 services134 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

54 services54 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

50 services47 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

48 services48 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

34 services34 patients

Injection, garamycin, gentamicin, up to 80 mg J1580

This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.

30 services15 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

28 services28 patients

Ultrasound scan of pelvic region through rectum 76872

28 services28 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

25 services25 patients

Assessment of muscle signal of pelvic nerves 51792

This procedure evaluates the communication between your nerves and muscles in the lower body region. It involves monitoring the electrical signals in your muscles to ensure they're responding correctly to nerve signals. It's useful for identifying potential nerve or muscle issues.

23 services23 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.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Biopsy of prostate gland 55700

12 services12 patients

Complex measurement of pressure of urine flow in bladder 51726

This procedure measures the pressure inside your bladder as it fills and empties. It helps to identify any issues with how your bladder is functioning. A small tube is inserted through your lower abdomen to take the measurements. It's a safe and essential test for urinary health.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100253

Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34986 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

96.82/100

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

Individually scored

Quality

93.64

Improvement Activities

Reported Quality Measures

Advance Care Plan

61%1,396 patients3/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

69%160 patients4/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%4,220 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

100%2,125 patients5/55-star benchmark: 61%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

100%283 patients5/55-star benchmark: 100%

Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older

100%161 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims1,980 services$0.11 avg. paid by Medicare

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

4 suppliers29 claims1,320 services$1.94 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

7 suppliers42 claims10,050 services$1.72 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers27 claims68 services$9.38 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

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

GULFSTREAM UROLOGY ASSOCIATES PA

Urology

579 NW LAKE WHITNEY PL STE 105
PORT ST LUCIE, FL 34986

St. Lucie County (772) 465-2020

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 Adam Ball's NPI number?

The NPI number for Adam Ball is 1366438517. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Adam Ball located?

Adam Ball practices at 579 NW Lake Whitney Pl Ste 105, Port St Lucie, FL 34986. The listed phone number is (772) 465-2020.

What is Adam Ball's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Adam Ball enrolled in Medicare?

Yes. Adam 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 Adam Ball accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Adam 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 Adam Ball affiliated with any hospitals?

According to CMS data, Adam Ball is affiliated with Cleveland Clinic Martin North Hospital and Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Ball was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.