THOMAS H BALL MD
NPI 1679596795
Internal Medicine in Fort Myers, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
1569 MATTHEW DR, FORT MYERS, FL 33907(239) 343-8220(239) 343-8221 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2021, Aug 18, 2020, Jun 20, 2019 and 1 more (4 updates tracked since 2019).

About Thomas H Ball Md NPPES

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

THOMAS H BALL MD (NPI 1679596795) is an individual internal medicine provider in Fort Myers, Florida, licensed in Florida (ME129967) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1679596795
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS H BALLCredential: MD
Location Address1569 MATTHEW DRFort Myers, FL 33907
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-8220 · Fax (239) 343-8221
Fax(239) 343-8221
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 24, 20214 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
NPI 1679596795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME129967
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.

1569 MATTHEW DR, Fort Myers, FL 33907

Other Identifiers 9

Medicaid01614240NY
Other102906BJPreferred Care
Other000523605002Bcbs Western Ny
Other7702405Mvp
OtherP010000065Excellus Bcbs Rochester N
Medicaid102410400FL
Other5902805Ghi
Other0406844Independent Health
Other00010009201Univera Healthcare

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

Thomas H 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 ID2466419544
PECOS Enrollment IDI20190329001224
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 5

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 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.
83 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 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.
33 services33 patients
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.
25 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers49 claims159 services$6.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims40 services$1.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers24 claims24 services$204.08 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 10

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

Physician Assistant
1569 MATTHEW DR
FORT MYERS, FL 33907
Internal Medicine
1569 MATTHEW DR
FT MYERS, FL 33907
Internal Medicine
1569 MATTHEW DR
FT MYERS, FL 33907
Internal Medicine
1569 MATTHEW DR
FORT MYERS, FL 33907
Physician Assistant
1569 MATTHEW DR
FORT MYERS, FL 33907
Family Medicine
1569 MATTHEW DR
FORT MYERS, FL 33907
Internal Medicine
1569 MATTHEW DR
FORT MYERS, FL 33907
Nurse Practitioner (Family)
1569 MATTHEW DR
FT MYERS, FL 33907

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 Thomas Ball's NPI number?

The NPI number for Thomas Ball is 1679596795. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Thomas Ball located?

Thomas Ball practices at 1569 Matthew Dr, Fort Myers, FL 33907. The listed phone number is (239) 343-8220.

What is Thomas Ball's specialty?

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

Is Thomas Ball enrolled in Medicare?

Yes. Thomas 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 Thomas Ball accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Thomas 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 Thomas Ball affiliated with any hospitals?

According to CMS data, Thomas Ball is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Ball was last updated on March 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.