2026 NPPES data Women's Health Nurse Practitioner NPI 1225687494
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Loren Ball

Women's Health Nurse Practitioner in New York, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,452 in Women's Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
33
Medicare Part D claims · 16 beneficiaries · Women's Health Nurse Practitioner avg: 262
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$11.42
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Loren Ball filed 33 Medicare Part D claims in 2023 as a Women's Health Nurse Practitioner in New York, New York, prescribing 52% generic.

33
Part D claims, 2023
52%
generic prescribing
$11.42
industry payments (Sunshine Act)

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.

Loren Ball's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

33 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Loren Ball?

Quality data not reported

NPI registry status

Active

Issued 09/10/2019

NPI 1225687494

Primary specialty

Women's Health Nurse Practitioner

Mid-sized

9,452 US NPIs in this specialty

Medicare Part D claims

33 87% vs specialty avg

2023 prescription claims

Specialty avg: 262

Specialty distribution in New York

How Women's Health Nurse Practitioner compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Women's Health Nurse Practitioner - 0.1%Women's Health Nurse Practitioner0.1%
Largest specialties in New York (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Women's Health Nurse Practitioner. Verify directly:

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).

Loren Ball appears in the CMS NPPES registry as a Women's Health Nurse Practitioner provider at 355 W 52ND ST, New York, NY, 10019, with a listed phone of (646) 754-2100. NPI 1225687494 was issued on 09/10/2019. 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 33 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $6K in drug spend, split 48% brand-name and 52% generic by claim count. 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.

Women's Health Nurse Practitioner is a mid-sized specialty nationwide, with 9,452 enrolled providers across 55 states and an average of 262 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

355 W 52ND ST
New York, NY 10019

Provider Details

NPI 1225687494
Specialty Women's Health Nurse Practitioner
Gender Female
NPI Issued 09/10/2019

Hospital and facility affiliations

Facilities where Loren Ball 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.

New York University
New York, NY

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

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 Loren Ball. Source: openpaymentsdata.cms.gov.

Total received

$11

Largest payer

Organon Llc

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Loren Ball. To verify Loren Ball's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Loren Ball - brand share 48.0%
Women's Health Nurse Practitioner average

48% brand-name claims vs 52% generic, on 33 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

33
Total Claims
$6K
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
65
Total Day Supply
1,890
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$5K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.00
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prempro
"Estrogen
N/A

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

Women's Health Nurse Practitioner Overview

How Loren Ball fits within the Women's Health Nurse Practitioner landscape nationally.

9,452
Women's Health Nurse Practitioner Providers in US
55
States with Women's Health Nurse Practitioner
262
Avg Claims per Provider

Loren Ball's 33 claims are below the specialty average of 262.

Nearby Women's Health Nurse Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ball.

Compare Women's Health Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Women's Health Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Loren Ball's specialty?
Loren Ball specializes in Women's Health Nurse Practitioner and practices in New York, New York.
How much does Loren Ball prescribe under Medicare Part D?
In 2023, Loren Ball wrote 33 Medicare Part D claims totaling $6K in drug costs for 16 beneficiaries.
Where is Loren Ball located?
Loren Ball is located at 355 W 52ND ST, New York, NY, 10019. Phone: (646) 754-2100.
What is Loren Ball's NPI number?
Loren Ball's National Provider Identifier (NPI) is 1225687494, issued on 09/10/2019.
Does Loren Ball prescribe more brand-name or generic drugs?
Loren Ball's prescribing is 48% brand-name and 52% generic drugs by claim count, with $5K in brand drug costs.
How many Women's Health Nurse Practitioner providers are there in the US?
There are 9,452 Women's Health Nurse Practitioner providers across 55 states in the US. The average Women's Health Nurse Practitioner provider writes 262 Medicare Part D claims per year.
What drugs does Loren Ball prescribe most often?
Based on 2023 Medicare Part D data, Loren Ball's most frequently prescribed drugs include Prempro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Loren Ball accept Medicare?
Loren Ball appears in CMS Medicare data with 33 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Loren Ball's credentials?
Loren Ball's NPI is 1225687494. 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

Compiled from official public sources by the PlainDoctor editorial team.