DR. ROBERT BALL JR. M.D.
NPI 1386751238
Surgery - Plastic and Reconstructive Surgery in Pikeville, KY
About Dr. Robert Ball Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT BALL JR. M.D. (NPI 1386751238) is an individual plastic and reconstructive surgery provider in Pikeville, Kentucky, licensed in Kentucky (25065) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Robert Ball Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Robert Ball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30030
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Decatur, GA 30030
- Reassigned Medicare billing, Georgia enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
PIKEVILLE, KY 41501
PIKEVILLE, KY 41501
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 Robert Ball's NPI number?
The NPI number for Robert Ball is 1386751238. It was assigned to this individual provider in the NPPES registry on August 24, 2006.
Where is Robert Ball located?
Robert Ball practices at 911 Bypass Rd, Pikeville, KY 41501. The listed phone number is (606) 218-1000.
What is Robert Ball's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Robert Ball enrolled in Medicare?
Yes. Robert 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.
Which organizations bill Medicare for Robert Ball's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Ball reassigns Medicare benefits to 2 organizations: Usa Vascular Center Of Decatur LLC (Decatur, GA) and Usa Vein Clinics Of Decatur LLC (Decatur, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Ball accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Robert 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 Robert Ball was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Robert Ball Jr., M.D. · NPI 1386751238
Plastic and Reconstructive Surgery physician in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since August 24, 2006.
## Identity
- **NPI:** 1386751238 (Entity type: Individual)
- **Enumerated:** August 24, 2006
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 25065 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 911 BYPASS RD, Pikeville, KY 41501-1689
- **Phone:** (606) 218-1000 · **Fax:** (606) 218-7502
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usa Vascular Center Of Decatur LLC (NPI 1487133278, Decatur, GA); Usa Vein Clinics Of Decatur LLC (NPI 1912301003, Decatur, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** May 3, 2017
- **Other identifiers:** Medicare PIN K166750 (KY); Medicaid 7100311610 (KY); Medicare UPIN C63170 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1386751238) · Data from the CMS NPPES public registry.