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DR. JEFFREY DAVID BALLER D.P.M.
NPI 1710981519
Podiatrist - Foot & Ankle Surgery in Poplar Bluff, MO

Active since June 09, 2005PECOS Enrolled
100/100
CMS Quality Rating
2600 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 785-4546(573) 785-6959 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey David Baller D.p.m. NPPES

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

DR. JEFFREY DAVID BALLER D.P.M. (NPI 1710981519) is an individual foot & ankle surgery provider in Poplar Bluff, Missouri, licensed in Missouri (2009020599) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710981519
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JEFFREY DAVID BALLERCredential: D.P.M.
Location Address2600 KANELL BLVDPoplar Bluff, MO 63901-3001
Mailing Address2600 Kanell BlvdPoplar Bluff, MO 63901-3001 · (573) 785-4546 · Fax (573) 785-6959
Phone(573) 785-4546
Fax(573) 785-6959
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateAugust 2, 2019
✔ NPI 1710981519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MO · 2009020599
2600 KANELL BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Other Identifiers 1

Medicaid1710981519MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey David Baller D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeffrey Baller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
Same address
Podiatrist
2600 KANELL BLVD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 8 clinicians in this Medicare group
NPI 1508838566 (573) 785-4546

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier29 claims29 services$66.23 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier17 claims17 services$214.92 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 4

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

CLINT VANLANDINGHAM
Podiatrist
2600 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4546
DR. RICHARD ARMEN AMUNDSEN DPM
Podiatrist
2600 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4546
MR. CLINT L VANLANDINGHAM DPM
Podiatrist
2600 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4546
KARL JAMES EWERT DPM
Podiatrist
2600 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4546

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 Jeffrey Baller's NPI number?

The NPI number for Jeffrey Baller is 1710981519. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jeffrey Baller located?

Jeffrey Baller practices at 2600 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-4546.

What is Jeffrey Baller's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jeffrey Baller enrolled in Medicare?

Yes. Jeffrey Baller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Baller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Baller reassigns Medicare benefits to (Poplar Bluff, MO). 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 Jeffrey Baller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Baller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Jeffrey Baller 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 Jeffrey Baller was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.