Matthew Balls, DO
Individual provider Active NPI Family Medicine Physician · Payson, AZ
NPI 1841784428 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1841784428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 009213 (AZ)
- Practice address
- 117 E Main St Ste A100
Payson, AZ 85541-4606 - Phone
- (289) 596-4500
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Health
Practice addresses (Care Compare)
117 E Main St
Suite A100
Payson, AZ 85541-4606
Phone (928) 596-4500
Hospital & facility affiliations
- Banner Home Care - Payson
- Banner Payson Medical Center
- Rim Country Health & Retirement Community
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211020002855 | AZ | Practitioner - Family Practice | 5799118600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 009213 | AZ | Yes |
Addresses
Primary practice location
117 E Main St Ste A100
Payson, AZ 85541-4606
Mailing address
1522 E a St
Casper, WY 82601-2217
Other providers in Payson, AZ
- Arizona Respiratory & Medical Supply Services Inc
- Rachel Denise Armstrong
- Assisted Living Concepts Inc
- Melissa Marie Avery
- Jessica L Balcom
- Banner -- University Primary Care Physicians LLC
- Banner Cancer Center Specialists LLC
- Banner Good Samaritan Liver Disease Center
- Banner Health
- Banner Health
All providers in Payson, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.