2026 NPPES data Medical Physician Assistant NPI 1972567451 PA
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RANDALL BALL, PA

Medical Physician Assistant in LEXINGTON, Kentucky. 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
609
Medicare Part D claims · 298 beneficiaries · Medical Physician Assistant avg: 1K
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$1.1K
49 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RANDALL BALL, PA reported a CMS MIPS final score of 95.5077/100 — above the 83.1 national average — and filed 609 Medicare Part D claims in 2023.

95.5077/100
MIPS score · +12 vs avg
609
Part D claims, 2023
$1.1K
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.

RANDALL BALL, PA's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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

What does the federal data show about RANDALL BALL, PA?

High performer (top quartile)

NPI registry status

Active

Issued 04/13/2006

NPI 1972567451

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

609 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Medical Physician Assistant compares to other specialties among Kentucky providers

Kentucky providers

Medical Physician Assistant share within Kentucky

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within Kentucky

Medicare quality performance — MIPS

RANDALL BALL, PA's 2023 MIPS final score plotted against the Medical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Medical Physician Assistant) — 95.5077/100 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).

RANDALL BALL, PA is a Medical Physician Assistant provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1972567451. 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.

RANDALL BALL, PA appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA credentials at 2700 OLD ROSEBUD RD STE 110, LEXINGTON, KY, 40509, with a listed phone of (859) 257-6200. NPI 1972567451 was issued on 04/13/2006. 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 609 prescription claims written by this provider, covering 298 Medicare beneficiaries and totaling roughly $47K 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 95.5077/100 for the 2023 performance year (Quality 89.5953), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 enrolled providers across 55 states and an average of 1,077 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

2700 OLD ROSEBUD RD STE 110
LEXINGTON, KY 40509

Provider Details

NPI 1972567451
Specialty Medical Physician Assistant
Credentials PA
Gender Male
NPI Issued 04/13/2006

CMS Quality Score (MIPS)

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

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RANDALL BALL, PA 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.

BAPTIST HEALTH MEDICAL GROUP INC
ELIZABETHTOWN, KY
UNIVERSITY OF KENTUCKY
LEXINGTON, KY

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 RANDALL BALL, PA. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Merck Sharp & Dohme 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.

Medicare Part D Prescribing Data

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

609
Total Claims
$47K
Total Drug Cost
298
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,087
Total Day Supply
27,300
Generic Drug Cost
$9K
Antibiotic Claims
122

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.27
Gender Split
62% female / 38% male
Age Distribution
<65: 51, 65-74: 140, 75-84: 85, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methylprednisolone
40
Levothyroxine Sodium
26
Atorvastatin Calcium
21
Doxycycline Hyclate
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
17
Lisinopril
16
Pantoprazole Sodium
16
Azithromycin
14
Metoprolol Succinate
14

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

Medical Physician Assistant Overview

How RANDALL BALL, PA fits within the Medical Physician Assistant landscape nationally.

40,527
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider

RANDALL BALL, PA's 609 claims are below the specialty average of 1,077.

Nearby Medical Physician Assistant Providers in Kentucky

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

Compare Medical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is RANDALL BALL, PA's specialty?
RANDALL BALL, PA specializes in Medical Physician Assistant and practices in LEXINGTON, Kentucky. Credentials: PA.
How much does RANDALL BALL, PA prescribe under Medicare Part D?
In 2023, RANDALL BALL, PA wrote 609 Medicare Part D claims totaling $47K in drug costs for 298 beneficiaries.
What is RANDALL BALL, PA's Medicare quality score?
RANDALL BALL, PA has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDALL BALL, PA located?
RANDALL BALL, PA is located at 2700 OLD ROSEBUD RD STE 110, LEXINGTON, KY, 40509. Phone: (859) 257-6200.
What is RANDALL BALL, PA's NPI number?
RANDALL BALL, PA's National Provider Identifier (NPI) is 1972567451, issued on 04/13/2006.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does RANDALL BALL, PA prescribe most often?
Based on 2023 Medicare Part D data, RANDALL BALL, PA's most frequently prescribed drugs include Methylprednisolone, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDALL BALL, PA accept Medicare?
RANDALL BALL, PA appears in CMS Medicare data with 609 Part D claims and 298 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDALL BALL, PA's credentials?
RANDALL BALL, PA's NPI is 1972567451 with credentials PA. 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