DR. DAVID M HALL M.D.
NPI 1023068582
Urology in Morgantown, WV

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1000 J D ANDERSON DR, SUITE 401, MORGANTOWN, WV 26505(304) 599-3074(304) 599-1802 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Dec 17, 2025, Oct 31, 2017 and 1 more (4 updates tracked since 2017).

About Dr. David M Hall M.d. NPPES

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

DR. DAVID M HALL M.D. (NPI 1023068582) is an individual urology provider in Morgantown, West Virginia, licensed in West Virginia (20378) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023068582
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DAVID M HALLCredential: M.D.
Location Address1000 J D ANDERSON DR, SUITE 401Morgantown, WV 26505-1238
Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 599-3074 · Fax (304) 599-1802
Fax(304) 599-1802
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2001
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1023068582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in WV · 20378
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1000 J D ANDERSON DR, Morgantown, WV 26505

Secondary Practice Locations 3

Location 12000 Mon Health Medical Park Dr Ste 2402Morgantown, WV 26505-1168 · Phone (304) 599-3074
Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200
Location 3230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000

Other Identifiers 5

Other9975432001WV · Cigna
Other001719827WV · Blue Cross Blue Shield
Other293333WV · Mamsi
Medicaid3002164000WV
Other7634238WV · Aetna

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. David M Hall M.d. 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 ID4880710789
PECOS Enrollment IDI20100929000073
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 12

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.

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.
630 services476 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.
185 services166 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
118 services97 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
78 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services34 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
26 services22 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Mon Health Marion

Acute Care Hospitals · Whitehall, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number510093
Location140 Middletown LoopWhitehall, WV 26554 · Marion County
Emergency services

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%1,477 patients1/55-star benchmark: 85%
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.
97%3,631 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%1,442 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%2,463 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 794 patients
Patients tobacco: 100% · 794 patients
98%90 patients5/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers69 claims9,105 services$1.42 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 6

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

Urology
1000 J D ANDERSON DR, SUITE 401
MORGANTOWN, WV 26505
Specialist
1000 J D ANDERSON DR, SUITE 401
MORGANTOWN, WV 26505
Physician Assistant (Medical)
1000 J D ANDERSON DR, SUITE 401
MORGANTOWN, WV 26505
Nurse Practitioner (Women's Health)
1000 J D ANDERSON DR, SUITE 402
MORGANTOWN, WV 26505
Nurse Practitioner (Family)
1000 J D ANDERSON DR, SUITE 401
MORGANTOWN, WV 26505
Nurse Practitioner
1000 J D ANDERSON DR, SUITE 402
MORGANTOWN, WV 26505

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 David Hall's NPI number?

The NPI number for David Hall is 1023068582. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is David Hall located?

David Hall practices at 1000 J D Anderson Dr Suite 401, Morgantown, WV 26505. The listed phone number is (304) 599-3074.

What is David Hall's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Hall enrolled in Medicare?

Yes. David 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 David Hall accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list David 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 David Hall affiliated with any hospitals?

According to CMS data, David Hall is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Mon Health Medical Center, Mon Health Marion and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Hall was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.