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DR. MATTHEW KARL BALL D.O.
NPI 1407299407
Pathology - Anatomic Pathology & Clinical Pathology in Tucson, AZ

Active since April 10, 2013PECOS EnrolledAccepts Medicare Assignment
84.65/100
CMS Quality Rating
PATHOLOGY DEPARTMENT, 1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 621-1685 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2023, Jul 2, 2018, May 10, 2017 (3 updates tracked since 2017).

About Dr. Matthew Karl Ball D.o. NPPES

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

DR. MATTHEW KARL BALL D.O. (NPI 1407299407) is an individual anatomic pathology & clinical pathology provider in Tucson, Arizona, licensed in Arizona (008488) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2013).

NPPES Registry Identity

NPI1407299407
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MATTHEW KARL BALLCredential: D.O.
Location AddressPATHOLOGY DEPARTMENT, 1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing AddressDepartment Of Pathology, 1625 N Campbell Ave, Suite 5401Tucson, AZ 85719-5059 · (520) 621-1685
Phone(520) 621-1685
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2013
Enumeration DateApril 10, 2013
Last NPPES UpdateJuly 30, 20253 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1407299407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in AZ · 008488
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
PATHOLOGY DEPARTMENT, Tucson, AZ 85719
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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. Matthew Karl Ball D.o. 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 ID2062640618
PECOS Enrollment IDI20200803000861
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Ball reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner-University Medical Group
5.4 mi
Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1932708328 (520) 694-5437

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

84.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.66
Improvement Activities40

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 Matthew Ball's NPI number?

The NPI number for Matthew Ball is 1407299407. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Matthew Ball located?

Matthew Ball practices at Pathology Department 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 621-1685.

What is Matthew Ball's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Matthew Ball enrolled in Medicare?

Yes. Matthew 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 organization bills Medicare for Matthew Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Ball reassigns Medicare benefits to Banner-University Medical Group (Tucson, AZ). The 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 Matthew Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Ball accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Matthew 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 Matthew Ball was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.