2026 NPPES data Emergency Medicine Physician NPI 1285611541 MD
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ANDREW BALL, MD

Emergency Medicine Physician in ABINGTON, Pennsylvania. 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
240
Medicare Part D claims · 171 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data reveals: ANDREW BALL, MD is a Emergency Medicine Physician ([object Object]) practicing in ABINGTON, Pennsylvania with a Medicare Part D prescribing footprint of 240 claims across 171 beneficiaries .

What stands out: ANDREW BALL, MD filed 240 Medicare Part D claims in 2023 across ABINGTON, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW BALL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW BALL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 12/28/2005

NPI 1285611541

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

240 32% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Pennsylvania

How Emergency Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Emergency Medicine Physician share within Pennsylvania

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

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).

ANDREW BALL, MD is a Emergency Medicine Physician provider practicing in ABINGTON, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1285611541. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW BALL, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1200 OLD YOLK ROAD, ABINGTON, PA, 19001, with a listed phone of (215) 481-4355. NPI 1285611541 was issued on 12/28/2005. 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 240 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $2K 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1200 OLD YOLK ROAD
ABINGTON, PA 19001

Provider Details

NPI 1285611541
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/28/2005

Hospital and facility affiliations

Facilities where ANDREW BALL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ARIA HEALTH PHYSICIAN SERVICES
LANGHORNE, PA
PATIENT CARE NOW LLC
FAIRLESS HILLS, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ANDREW BALL, MD. To verify ANDREW BALL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

240
Total Claims
$2K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
2,312
Generic Drug Cost
$2K
Antibiotic Claims
121

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.06
Gender Split
65% female / 35% male
Age Distribution
<65: 27, 65-74: 86, 75-84: 45, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
46
Cephalexin
26
Azithromycin
19
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Doxycycline Monohydrate
15

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

Emergency Medicine Physician Overview

How ANDREW BALL, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

ANDREW BALL, MD's 240 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Pennsylvania

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW BALL, MD's specialty?
ANDREW BALL, MD specializes in Emergency Medicine Physician and practices in ABINGTON, Pennsylvania. Credentials: MD.
How much does ANDREW BALL, MD prescribe under Medicare Part D?
In 2023, ANDREW BALL, MD wrote 240 Medicare Part D claims totaling $2K in drug costs for 171 beneficiaries.
Where is ANDREW BALL, MD located?
ANDREW BALL, MD is located at 1200 OLD YOLK ROAD, ABINGTON, PA, 19001. Phone: (215) 481-4355.
What is ANDREW BALL, MD's NPI number?
ANDREW BALL, MD's National Provider Identifier (NPI) is 1285611541, issued on 12/28/2005.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does ANDREW BALL, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW BALL, MD's most frequently prescribed drugs include Prednisone, Cephalexin, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW BALL, MD accept Medicare?
ANDREW BALL, MD appears in CMS Medicare data with 240 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW BALL, MD's credentials?
ANDREW BALL, MD's NPI is 1285611541 with credentials MD. 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.
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