Patrick Ball, DO
NPI 1265884696 · Internal Medicine Physician · Middlesboro, KY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrick Ball, DO is a Internal Medicine Physician provider in Middlesboro, KY (NPI 1265884696).
Provider details
- NPI number
- 1265884696
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 04472 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
154 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 99 | $167 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 55 | $116 |
Typical Medicare-allowed amounts for these services range $116–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 236 | 82 |
| Gabapentin | 179 | 54 |
| Levothyroxine Sodium | 109 | 36 |
| Atorvastatin Calcium | 103 | 32 |
| Pantoprazole Sodium | 103 | 30 |
| Lisinopril | 97 | 34 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$96 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1540 US Highway 25 EMiddlesboro, KY 40965-1861Phone: (606) 654-9450
Registry dates
- Enumerated
- 2016-07-09
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Frequently asked questions
- What is Patrick Ball's NPI number?
- Patrick Ball's National Provider Identifier (NPI) is 1265884696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrick Ball's specialty?
- Patrick Ball is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Patrick Ball located?
- Patrick Ball's practice location on file with NPPES is 1530 US Highway 25 E, Middlesboro, KY 40965-1861.
- What is Patrick Ball's phone number?
- The practice phone number listed in the NPPES registry for Patrick Ball is (606) 654-9450.
- Does Patrick Ball accept Medicare?
- Patrick Ball is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patrick Ball's NPI active?
- Yes — Patrick Ball's NPI (1265884696) is active in the NPPES registry as of the last update on 2025-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.