MARTIN D BALL PA
NPI 1912434606
Physician Assistant in N Charleston, SC

Q: What is Martin Ball's NPI number?

The NPI number for Martin Ball is 1912434606. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Q: What is Martin Ball's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Martin Ball was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 12, 2017PECOS EnrolledAccepts Medicare Assignment

70.05/100

CMS Quality Rating

8091 RIVERS AVE, N CHARLESTON, SC 29406(843) 572-7000 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Jun 1, 2021, Aug 20, 2019 and 3 more (6 updates tracked since 2017).

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About Martin D Ball Pa NPPES

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

MARTIN D BALL PA (NPI 1912434606) is an individual physician assistant in N Charleston, South Carolina, licensed in South Carolina (2807) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Moncks Corner, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912434606

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARTIN D BALLCredential: PA

Location Address8091 RIVERS AVEN Charleston, SC 29406-9281

Mailing Address8091 Rivers AveNorth Charleston, SC 29406-9236 · (843) 572-7000

Phone(843) 572-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 12, 2017

Last NPPES UpdateNovember 1, 20216 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1912434606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 2807

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8091 RIVERS AVE, N Charleston, SC 29406

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Secondary Practice Location 1

Location 1730 Stony Landing RdMoncks Corner, SC 29461-2904 · Phone (843) 899-7700

Other Identifiers 1

Medicaid3579PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next.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

Martin D Ball Pa 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 ID5698034254

PECOS Enrollment IDI20180106000094

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 9

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.

101 services88 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

54 services54 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

43 services41 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.

42 services41 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

35 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

70.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

48.22

Promoting Interoperability

Improvement Activities

Cost

53.62

Other Providers at the Same Location NPPES 18

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

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