DR. SCOTT WILLIAM HALL MD
NPI 1013913292
Internal Medicine - Hematology in Newark, DE

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
4701 OGLETOWN STANTON RD, STE 4200, NEWARK, DE 19713(302) 737-7700(302) 737-5407 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott William Hall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT WILLIAM HALL MD (NPI 1013913292) is an individual hematology provider in Newark, Delaware, licensed in Delaware (C10006012) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of University Of Virginia School Of Medicine (1992).

NPPES Registry Identity

NPI1013913292
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. SCOTT WILLIAM HALLCredential: MD
Location Address4701 OGLETOWN STANTON RD, STE 4200Newark, DE 19713-2055
Mailing AddressPo Box 12210Wilmington, DE 19850-2210 · (302) 454-9830 · Fax (302) 454-1445
Fax(302) 737-5407
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1992
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 7, 2011
NPI 1013913292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in DE · C10006012
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License C10006012 (DE)
4701 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 1

Medicare UPING77156DE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott William Hall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012096969
PECOS Enrollment IDI20110606000700
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
274 services76 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
243 services209 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services141 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
179 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services100 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
92 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
61%75 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%1,195 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%216 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%71 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
54%270 patients3/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
100%257 patients5/55-star benchmark: 88%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
92%270 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
20%270 patients2/55-star benchmark: 77%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 352 patients
1%352 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
4701 OGLETOWN STANTON RD, SUITE 1500
NEWARK, DE 19713
Nurse Practitioner
4701 OGLETOWN STANTON RD, HELEN GRAHAM CANCER CENTER SUITE 1109
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, STE 2400
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, SUITE 3400
NEWARK, DE 19713
Nurse Practitioner (Adult Health)
4701 OGLETOWN STANTON RD, SUITE 2400
NEWARK, DE 19713
Physician Assistant (Medical)
4701 OGLETOWN STANTON RD, SUITE 2300
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, SUITE 2400
NEWARK, DE 19713
Dietitian, Registered
4701 OGLETOWN STANTON RD, HELEN F. GRAHAM CANCER CENTER, SUITE 2200
NEWARK, DE 19713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Hall's NPI number?

The NPI number for Scott Hall is 1013913292. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Scott Hall located?

Scott Hall practices at 4701 Ogletown Stanton Rd Ste 4200, Newark, DE 19713. The listed phone number is (302) 737-7700.

What is Scott Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Scott Hall enrolled in Medicare?

Yes. Scott Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Scott Hall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Scott Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Scott Hall affiliated with any hospitals?

According to CMS data, Scott Hall is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Scott Hall was last updated on March 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.