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CRAIG HALL MD
NPI 1013920628
Internal Medicine in Jackson, CA

Active since August 14, 2006PECOS Enrolled
11333 PROSPECT DR, JACKSON, CA 95642(209) 368-0560(209) 214-6946 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig Hall Md NPPES

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

CRAIG HALL MD (NPI 1013920628) is an individual internal medicine provider in Jackson, California, licensed in California (A60551) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013920628
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCRAIG HALLCredential: MD
Location Address11333 PROSPECT DRJackson, CA 95642-9311
Mailing AddressPo Box 1580Ione, CA 95640-1580 · (209) 274-2183
Phone(209) 368-0560
Fax(209) 214-6946
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1013920628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A60551
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11333 PROSPECT DR, Jackson, CA 95642
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig Hall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers86 claims222 services$5.79 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers44 claims65 services$1.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$43.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers15 claims88 services$24.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers27 claims27 services$62.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HOLLY MICHELLE HARPER-GROHS ACSW
Social Worker (Clinical)
11333 PROSPECT DR
JACKSON, CA 95642
Amador County (916) 496-0971

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 Craig Hall's NPI number?

The NPI number for Craig Hall is 1013920628. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Craig Hall located?

Craig Hall practices at 11333 Prospect Dr, Jackson, CA 95642. The listed phone number is (209) 368-0560.

What is Craig Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craig Hall enrolled in Medicare?

Yes. Craig Hall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Hall was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.