DR. JOSEPH A BALL MD
NPI 1447254230
Internal Medicine - Pulmonary Disease in Gaithersburg, MD

Q: What is Joseph Ball's NPI number?

The NPI number for Joseph Ball is 1447254230. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Joseph Ball's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Ball was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 09, 2005PECOS EnrolledAccepts Medicare Assignment

16220 FREDERICK RD, STE 213, GAITHERSBURG, MD 20877(301) 963-2770(301) 258-0083 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Joseph A Ball Md NPPES

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

DR. JOSEPH A BALL MD (NPI 1447254230) is an individual pulmonary disease provider in Gaithersburg, Maryland, licensed in Maryland (D0053317) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1447254230

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JOSEPH A BALLCredential: MD

Location Address16220 FREDERICK RD, STE 213Gaithersburg, MD 20877-4039

Mailing Address16220 Frederick Rd, Ste 213Gaithersburg, MD 20877-4039 · (301) 963-2770 · Fax (301) 258-0083

Phone(301) 963-2770

Fax(301) 258-0083

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1991

Enumeration DateJune 9, 2005

Last NPPES UpdateNovember 25, 2009

✔ NPI 1447254230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MD · D0053317

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

16220 FREDERICK RD, Gaithersburg, MD 20877

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Other Identifiers 1

Medicare UPINF31609MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Joseph A Ball Md 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 ID3072640069

PECOS Enrollment IDI20100422001042

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 Reassignments

Medicare enrollment records show Joseph Ball reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usacs Critical Care Medicine Services East, LLC

2.0 mi

Critical Care Medicine

9901 MEDICAL CENTER DR
Rockville, MD 20850

Reassigned Medicare billing, District of Columbia enrollment
80 clinicians in this Medicare group

NPI 1356007116 (844) 474-4019

Privia Medical Group, LLC

17 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
1,534 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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

Areas of Expertise CMS Part B claims 18

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.

1,258 services852 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.

684 services476 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

359 services337 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

326 services134 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

306 services252 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

284 services278 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

271 services266 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

247 services115 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

184 services184 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

167 services147 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

115 services114 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

114 services113 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

89 services81 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

48 services42 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

31 services30 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210022

Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County

Emergency services

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210057

Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County

Emergency services Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210065

Location19801 Observation DriveGermantown, MD 20876 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%3,708 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%213 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

24%1,566 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%1,528 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

16%1,528 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

29%1,528 patients

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 34

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers163 claims163 services$34.08 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier13 claims1,170 services$2.45 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier13 claims38 services$6.68 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier13 claims37 services$3.71 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

12 suppliers100 claims100 services$74.61 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

10 suppliers84 claims209 services$29.90 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers93 claims500 services$16.38 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers46 claims251 services$12.87 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers151 claims151 services$46.41 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

17 suppliers150 claims150 services$15.93 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

7 suppliers17 claims17 services$8.36 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers72 claims72 services$10.34 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers194 claims1,143 services$1.91 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers85 claims85 services$4.97 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

14 suppliers106 claims106 services$11.08 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

8 suppliers179 claims179 services$12.89 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$768.64 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers70 claims70 services$701.14 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

7 suppliers104 claims105 services$73.86 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers16 claims16 services$120.21 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers22 claims22 services$11.96 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers142 claims142 services$3.90 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers123 claims123 services$24.27 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

11 suppliers572 claims574 services$64.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers355 claims357 services$33.27 avg. paid by Medicare

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569

Treatment-Injections and Infusions (nononcologic) · category RI008N

2 suppliers11 claims550 services$35.73 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims840 services$4.76 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers29 claims1,740 services$6.58 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

30 suppliers107 claims21,968 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

15 suppliers44 claims3,780 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers46 claims3,214 services$0.81 avg. paid by Medicare

Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams J7682

DME-Drugs Administered Through DME · category DG000N

4 suppliers34 claims1,848 services$19.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$34.40 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

40 suppliers186 claims186 services$24.93 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 20

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

NICOLE DASKALAKIS

Social Worker

16220 FREDERICK RD, 310
GAITHERSBURG, MD 20877

Montgomery County (301) 345-1022

MS. BARBARA J WILSON L.C.P.C.

Counselor (Professional)

16220 FREDERICK RD, SUITE 502
GAITHERSBURG, MD 20877

Montgomery County (301) 978-9750

SHANAE RICE

Social Worker

16220 FREDERICK RD, 310
GAITHERSBURG, MD 20877

Montgomery County (301) 345-1022

DR. DAVID A. DUTROW III D.M.D.

Dentist (General Practice)

16220 FREDERICK RD
GAITHERSBURG, MD 20877

Montgomery County (301) 977-9100

MADELINE SHARP

Social Worker

16220 FREDERICK RD
GAITHERSBURG, MD 20877

Montgomery County (301) 296-6100

EFRAIM S ESHAGHIAN

Counselor

16220 FREDERICK RD
GAITHERSBURG, MD 20877

Montgomery County (301) 345-1563

GINA BUONO

Social Worker (Clinical)

16220 FREDERICK RD, SUITE 310
GAITHERSBURG, MD 20877

Montgomery County (301) 345-1022

MS. ERIKA L GORDON MSW

Social Worker (Clinical)

16220 FREDERICK RD, SUITE 502
GAITHERSBURG, MD 20877

Montgomery County (301) 978-9750

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 Joseph Ball's NPI number?

The NPI number for Joseph Ball is 1447254230. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Joseph Ball located?

Joseph Ball practices at 16220 Frederick Rd Ste 213, Gaithersburg, MD 20877. The listed phone number is (301) 963-2770.

What is Joseph Ball's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Joseph Ball enrolled in Medicare?

Yes. Joseph 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 Joseph Ball's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Ball reassigns Medicare benefits to 2 organizations: Usacs Critical Care Medicine Services East, LLC (Rockville, MD) and Privia Medical Group, LLC (Arlington, VA). 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 Joseph Ball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Ball accept?

Health plans from Oscar Health list Joseph 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 Joseph Ball affiliated with any hospitals?

According to CMS data, Joseph Ball is affiliated with Suburban Hospital, Adventist Healthcare Shady Grove Medical Center and Holy Cross Germantown Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Ball was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.