DR. MARY C BALL M.D.
NPI 1801888938
Family Medicine - Geriatric Medicine in Grand Rapids, MI
NPI Status: Active since August 16, 2005
Contact Information
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 272-3533
Fax: (616) 259-4839
- Individual
- Female
- Years of Experience 42
- Family Medicine
- Geriatric Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARY BALL
This page provides the complete NPI Profile along with additional information for Mary Ball, a primary care provider established in Grand Rapids, Michigan with a medical specialization in Family Medicine, focusing in geriatric medicine and more than 42 years of experience. She graduated from Michigan State University College Of Human Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1801888938 assigned on August 2005. The practitioner's primary taxonomy code is 207QG0300X with license number 66125 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1801888938
- Provider Name
- DR. MARY C BALL M.D.
- Other Name
- DR. MARY C WEST MD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546
- Location Phone
- (616) 272-3533
- Location Fax
- (616) 259-4839
- Mailing Address
- 801 ROSEHILL RD JACKSON, MI 49202
- Mailing Phone
- (517) 212-2008
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
- Graduation Year
- 1984
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-16-2005
- Last Update Date
- 10-27-2023
- Code Navigator
A primary care provider (PCP) like Mary Ball sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 66125
- License State
- WI
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | 4301049261 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Ball is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mary Ball is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2961436969
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050920000422
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49546 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mary Ball is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
HOLLAND COMMUNITY HOSPITAL | 602 MICHIGAN AVE HOLLAND, MI 49423 | (616) 392-5141 | Acute Care Hospitals |
Reviews for DR. MARY C BALL M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 0 | 1 | 8 | 8 | 8 | 9 | 3 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 0 | 1 | 16 | 8 | 16 | 9 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 0 + 1 + 1 + 6 + 8 + 1 + 6 + 9 + 6 + 24 = 72 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 72 = 8 | 8 |
The NPI number 1801888938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1235606518 | MARIAH PAZ DOMINGUEZ PA-C Individual | Family Medicine | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1104429851 | BRITTANY J DEVRIES AGNP Individual | Nurse Practitioner (Adult Health) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1164731535 | MR. JEREMY RICHARD HERR MS, FNP, APNP Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1275682437 | MRS. SHELLIANN MARIE ENDLINE NP Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1295482743 | ANGELA COPLIN NP Individual | Nurse Practitioner (Adult Health) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1922476373 | ELIZABETH TAYLOR Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1831889914 | MS. SARA ELIZABETH FRAGALE FNP Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1881305936 | MRS. MARION SATTA-GABLE SARJO Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1508891995 | DR. SUZANNE MARIE HOWARD MD Individual | Internal Medicine | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1770257818 | CARELINE HMI300 LLC Organization | Hospice Care, Community Based | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (517) 212-2006 |
1770283988 | MASON JON WITTE NP Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1215799176 | HEATHER JEAN WALKER AGNP-C Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1679089759 | MRS. REBECCA K BAKER MARRIOTT RN, MSN, FNP-BC Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1114522471 | ERIN KUCHAREK A-GNP-C Individual | Nurse Practitioner (Primary Care) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (517) 212-2008 |
1578195681 | CHELSEA DELISLE FNP- BC Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1942815238 | MRS. KATHLEEN THORN FNP-BC Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1326544230 | KAITLYN TROUTMAN COLLINS AGNP Individual | Nurse Practitioner (Adult Health) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1396311510 | GRANT OOSSE Individual | Nurse Practitioner (Family) | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1154322113 | WILLIAM H DUKES MD Individual | Family Medicine | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
1912515586 | REBECCA JO NIELSEN NP Individual | Nurse Practitioner | 770 KENMOOR AVE SE STE 100 GRAND RAPIDS, MI 49546 (616) 272-3533 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801888938, enumerated in the NPI registry as an "individual" on August 16, 2005
The provider is located at 770 Kenmoor Ave Se Ste 100 Grand Rapids, Mi 49546 and the phone number is (616) 272-3533
The provider's speciality is Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine
The provider has more than 42 years of experience. She graduated from Michigan State University College Of Human Medicine in 1984.
The provider might be accepting Accepts: HAP CareSource, McLaren Health Plan Community,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): HOLLAND COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.