THOMAS ALAN BALL MD
NPI 1942261409
Family Medicine in Front Royal, VA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
351 VALLEY HEALTH WAY # 300, FRONT ROYAL, VA 22630(540) 631-3700 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2021, Mar 31, 2021 (2 updates tracked since 2021).

About Thomas Alan Ball Md NPPES

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

THOMAS ALAN BALL MD (NPI 1942261409) is an individual family medicine provider in Front Royal, Virginia, licensed in Virginia (0101049217) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of University Of Virginia School Of Medicine (1990).

NPPES Registry Identity

NPI1942261409
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS ALAN BALLCredential: MD
Location Address351 VALLEY HEALTH WAY # 300Front Royal, VA 22630-6480
Mailing Address351 Valley Health Way Ste 300Front Royal, VA 22630-6480 · (540) 631-3700
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1990
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
NPI 1942261409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101049217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
351 VALLEY HEALTH WAY # 300, Front Royal, VA 22630

Other Identifiers 3

Medicaid005608805VA
Other080177187VA · Railroad Insurance
Other441560VA · Anthem Insurance

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 Alan 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 ID6608050596
PECOS Enrollment IDI20110419000148
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 3

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.

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.
28 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services24 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22630 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
5 suppliers17 claims64 services$6.80 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
5 suppliers24 claims25 services$13.14 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
6 suppliers57 claims58 services$67.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$33.35 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
3 suppliers11 claims2,467 services$0.03 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 suppliers22 claims22 services$32.63 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 8

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

Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Nurse Practitioner (Family)
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Nurse Practitioner (Family)
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630
Family Medicine
351 VALLEY HEALTH WAY # 300
FRONT ROYAL, VA 22630

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 1942261409. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Thomas Ball located?

Thomas Ball practices at 351 Valley Health Way # 300, Front Royal, VA 22630. The listed phone number is (540) 631-3700.

What is Thomas Ball's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 CareSource 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 Winchester Medical Center and Warren Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Ball was last updated on August 19, 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.