2026 NPPES data Otolaryngology Physician NPI 1205993680 M.D.
Verify on CMS →

VALERIE BALL, M.D.

Otolaryngology Physician in AVON, Indiana. 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
563
Medicare Part D claims · 223 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
37.7732/100
▼ 45 pts below national avg 83.1 · [object Object]
Industry payments
$289.99
23 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: VALERIE BALL, M.D. is a Otolaryngology Physician ([object Object]) practicing in AVON, Indiana with a Medicare Part D prescribing footprint of 563 claims across 223 beneficiaries . Their CMS MIPS Final Score of 37.7732/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $289.99 across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: VALERIE BALL, M.D. reported a CMS MIPS final score of 37.7732 out of 100, below the 83.1 national average, and filed 563 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

VALERIE BALL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

VALERIE BALL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/03/2007

NPI 1205993680

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

563 11% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

37.7732/100 45.32679999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Indiana

How Otolaryngology Physician compares to other specialties among Indiana providers

Indiana providers

Otolaryngology Physician share within Indiana

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
37.7732/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 37.7732/100 vs national avg 83.1

0%100%National avg83%37.8%
MIPS final score (Otolaryngology Physician) — 37.7732/100 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).

VALERIE BALL, M.D. is a Otolaryngology Physician provider practicing in AVON, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205993680. 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.

VALERIE BALL, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 1115 NORTH RONALD REAGAN PARKWAY, AVON, IN, 46123, with a listed phone of (317) 844-7059. NPI 1205993680 was issued on 01/03/2007. 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 563 prescription claims written by this provider, covering 223 Medicare beneficiaries and totaling roughly $48K in drug spend, with an opioid prescribing rate of 4.1%. 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 37.7732/100 for the 2023 performance year (Quality 35, Cost 90.9105), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1115 NORTH RONALD REAGAN PARKWAY
AVON, IN 46123

Provider Details

NPI 1205993680
Specialty Otolaryngology Physician
Credentials M.D.
Gender Female
NPI Issued 01/03/2007

CMS Quality Score (MIPS)

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

37.7732
Final Score
Avg: 83.1
35
Quality
90.9105
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VALERIE BALL, M.D. 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.

OTOLARYNGOLOGY ASSOCIATES LLC
KOKOMO, IN

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 VALERIE BALL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$290

Largest payer

Inspire Medical Systems, 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.

Medicare Part D Prescribing Data

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

563
Total Claims
$48K
Total Drug Cost
223
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,081
Total Day Supply
28,653
Generic Drug Cost
$9K
Opioid Claims
23 (4.1% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
0.97
Gender Split
62% female / 38% male
Age Distribution
<65: 17, 65-74: 118, 75-84: 64, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
152
Synthroid
Levothyroxine Sodium
58
Prednisone
57
Ofloxacin
47
Mupirocin
38
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Unithroid
Levothyroxine Sodium
11

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

Otolaryngology Physician Overview

How VALERIE BALL, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

VALERIE BALL, M.D.'s 563 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Indiana

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

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

Frequently Asked Questions

What is VALERIE BALL, M.D.'s specialty?
VALERIE BALL, M.D. specializes in Otolaryngology Physician and practices in AVON, Indiana. Credentials: M.D..
How much does VALERIE BALL, M.D. prescribe under Medicare Part D?
In 2023, VALERIE BALL, M.D. wrote 563 Medicare Part D claims totaling $48K in drug costs for 223 beneficiaries.
What is VALERIE BALL, M.D.'s Medicare quality score?
VALERIE BALL, M.D. has a CMS MIPS Final Score of 37.7732/100 (Quality: 35, Cost: 90.9105). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VALERIE BALL, M.D. located?
VALERIE BALL, M.D. is located at 1115 NORTH RONALD REAGAN PARKWAY, AVON, IN, 46123. Phone: (317) 844-7059.
What is VALERIE BALL, M.D.'s NPI number?
VALERIE BALL, M.D.'s National Provider Identifier (NPI) is 1205993680, issued on 01/03/2007.
Does VALERIE BALL, M.D. prescribe opioids?
Yes, VALERIE BALL, M.D. had 23 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does VALERIE BALL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VALERIE BALL, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Synthroid, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VALERIE BALL, M.D. accept Medicare?
VALERIE BALL, M.D. appears in CMS Medicare data with 563 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VALERIE BALL, M.D.'s credentials?
VALERIE BALL, M.D.'s NPI is 1205993680 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