2026 NPPES data Hospitalist Physician NPI 1366438517 M.D.
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ADAM BALL, M.D.

Hospitalist Physician in PORT ST LUCIE, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 691 beneficiaries · Hospitalist Physician avg: 888
MIPS score
96.8208/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
59 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ADAM BALL, M.D. reported a CMS MIPS final score of 96.8208/100 — above the 83.1 national average — and filed 2,224 Medicare Part D claims in 2023.

96.8208/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ADAM BALL, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ADAM BALL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ADAM BALL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/23/2005

NPI 1366438517

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

2,224 150% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

96.8208/100 13.720800000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Hospitalist Physician compares to other specialties among Florida providers

Florida providers

Hospitalist Physician share within Florida

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Florida

Medicare quality performance — MIPS

ADAM BALL, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
96.8208/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 96.8208/100 vs national avg 83.1

0%100%National avg83%96.8%
MIPS final score (Hospitalist Physician) — 96.8208/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ADAM BALL, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL, 34986, with a listed phone of (772) 465-2020. NPI 1366438517 was issued on 09/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,224 prescription claims written by this provider, covering 691 Medicare beneficiaries and totaling roughly $1.1 million in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.8208/100 for the 2023 performance year (Quality 93.6417), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

579 NW LAKE WHITNEY PL STE 105
PORT ST LUCIE, FL 34986

Provider Details

NPI 1366438517
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 09/23/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.8208
Final Score
Avg: 83.1
93.6417
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ADAM BALL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Myriad Genetic Laboratories, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to ADAM BALL, M.D.. To verify ADAM BALL, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,224
Total Claims
$1.1M
Total Drug Cost
691
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,793
Total Day Supply
133,138
Generic Drug Cost
$49K
Antibiotic Claims
386

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.50
Gender Split
19% female / 81% male
Age Distribution
<65: 57, 65-74: 294, 75-84: 274, 85+: 66

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ADAM BALL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
413
Myrbetriq
Mirabegron
254
Alfuzosin Hcl Er
Alfuzosin Hcl
240
Finasteride
164
Firmagon
Degarelix Acetate
150
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
121
Levofloxacin
88
Oxybutynin Chloride Er
Oxybutynin Chloride
77
Testosterone Cypionate
63
Solifenacin Succinate
55

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hospitalist Physician Overview

How ADAM BALL, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

ADAM BALL, M.D.'s 2,224 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BALL.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BALL, M.D.'s specialty?
ADAM BALL, M.D. specializes in Hospitalist Physician and practices in PORT ST LUCIE, Florida. Credentials: M.D..
How much does ADAM BALL, M.D. prescribe under Medicare Part D?
In 2023, ADAM BALL, M.D. wrote 2,224 Medicare Part D claims totaling $1.1M in drug costs for 691 beneficiaries.
What is ADAM BALL, M.D.'s Medicare quality score?
ADAM BALL, M.D. has a CMS MIPS Final Score of 96.8208/100 (Quality: 93.6417). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM BALL, M.D. located?
ADAM BALL, M.D. is located at 579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL, 34986. Phone: (772) 465-2020.
What is ADAM BALL, M.D.'s NPI number?
ADAM BALL, M.D.'s National Provider Identifier (NPI) is 1366438517, issued on 09/23/2005.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does ADAM BALL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ADAM BALL, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Alfuzosin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM BALL, M.D. accept Medicare?
ADAM BALL, M.D. appears in CMS Medicare data with 2,224 Part D claims and 691 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BALL, M.D.'s credentials?
ADAM BALL, M.D.'s NPI is 1366438517 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology