JORDAN BALL (DO) – Student in an Organized Health Care Education/Training Program, NPI 1750919981

JORDAN BALL (DO) is a healthcare provider. based in Saint petersburg, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. The NPI Number for JORDAN BALL (DO) is 1750919981

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN BALL (DO)
NPI
1750919981
Phone
(501) 454-3101
Address
6500 38TH AVE N
Enumeration Date
1 April 2020
Last Update Date
1 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012190900
Graduation Year
2020 (6 years ago)
PAC ID
5890230965
Group Practice PAC ID
3375510126
Professional Enrollment ID
I20240712002096
Address ID
AR722056243LI9800XDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for JORDAN BALL (DO)

  • 6500 38TH AVE N

    SAINT PETERSBURG, FL 337101629

    Phone: (501) 454-3101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($222).

Total Amount

$517

General + Research + Ownership

Payments

10

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240712002096IOphthalmologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375510126View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YWI
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

What identifier follows JORDAN BALL (DO) across health systems?
The NPI 1750919981 uniquely identifies JORDAN BALL (DO) in U.S. healthcare data.
Quick check: is JORDAN BALL (DO) active?
Public NPPES data shows JORDAN BALL (DO) with an active NPI status right now.
Which specialty label fits JORDAN BALL (DO)?
NPPES ties JORDAN BALL (DO) to Student in an Organized Health Care Education/Training Program in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JORDAN BALL (DO)?
JORDAN BALL (DO) is associated with Saint Petersburg, Florida in the same public data insurers reference.
Why is information missing for JORDAN BALL (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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