ANN E BALLEN MD
NPI 1760481022
Ophthalmology in Miami, FL

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
8501 SW 124TH AVE, 109, MIAMI, FL 33183(305) 271-4544(305) 274-9668 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ann E Ballen Md NPPES

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

ANN E BALLEN MD (NPI 1760481022) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME47233) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1979).

NPPES Registry Identity

NPI1760481022
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameANN E BALLENCredential: MD
Location Address8501 SW 124TH AVE, 109Miami, FL 33183
Mailing Address8501 Sw 124th Ave, 109Miami, FL 33183-4627 · (305) 271-4544 · Fax (305) 274-9668
Fax(305) 274-9668
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1979
Enumeration DateJuly 19, 2005
Last NPPES UpdateAugust 9, 2018
NPI 1760481022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME47233
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License ME0047233 (FL)
8501 SW 124TH AVE, Miami, FL 33183

Other Identifiers 1

Medicaid043855300FL

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

Ann E Ballen 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 ID5294866950
PECOS Enrollment IDI20100624000970
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
189 services157 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
179 services144 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
146 services93 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
65 services55 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
46 services29 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
43 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

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.

Nurse Practitioner (Family)
8501 SW 124TH AVE
MIAMI, FL 33183
Nurse Practitioner (Women's Health)
8501 SW 124TH AVE, SUITE 211
MIAMI, FL 33183
Nurse Practitioner (Family)
8501 SW 124TH AVE
MIAMI, FL 33183
Dentist (General Practice)
8501 SW 124TH AVE, #107
MIAMI, FL 33183
Optometrist
8501 SW 124TH AVE, SUITE 109
MIAMI, FL 33183
Pediatrics (Adolescent Medicine)
8501 SW 124TH AVE, 208
MIAMI, FL 33183
Clinic/Center (Dental)
8501 SW 124TH AVE, SUITE 104
MIAMI, FL 33183
Obstetrics & Gynecology
8501 SW 124TH AVE, SUITE 211
MIAMI, FL 33183

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 Ann Ballen's NPI number?

The NPI number for Ann Ballen is 1760481022. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Ann Ballen located?

Ann Ballen practices at 8501 SW 124th Ave 109, Miami, FL 33183. The listed phone number is (305) 271-4544.

What is Ann Ballen's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ann Ballen enrolled in Medicare?

Yes. Ann Ballen 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 Ann Ballen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Ann Ballen 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 Ann Ballen was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.