DR. JAIME MARIE REALSEN HALL MD
NPI 1023544012
Family Medicine in Fort Myers, FL

Q: What is Jaime Hall's NPI number?

The NPI number for Jaime Hall is 1023544012. It was assigned to this individual provider in the NPPES registry on May 11, 2017. The provider is also known as Jaime Marie Realsen MD.

Q: What is Jaime Hall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Jaime Hall enrolled in Medicare?

No. Jaime Hall has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jaime Hall was last updated on July 26, 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.

Active since May 11, 2017Opted out of Medicare · through Oct 1, 2027

79.77/100

CMS Quality Rating

13782 PLANTATION RD STE 201, FORT MYERS, FL 33912(239) 343-1100(239) 343-1101 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2023, Apr 21, 2021, Mar 25, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Jaime Marie Realsen Hall Md NPPES

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

DR. JAIME MARIE REALSEN HALL MD (NPI 1023544012) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (ME142894) and active in the NPI registry since May 2017. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023544012

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAIME MARIE REALSEN HALLCredential: MD

Location Address13782 PLANTATION RD STE 201Fort Myers, FL 33912-4462

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1100 · Fax (239) 343-1101

Phone(239) 343-1100

Fax(239) 343-1101

Sole ProprietorYes

Enumeration DateMay 11, 2017

Last NPPES UpdateJuly 26, 20235 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1023544012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME142894

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13782 PLANTATION RD STE 201, Fort Myers, FL 33912

Open in Google Maps ↗

Other Names 1

Former Name (1)Jaime Marie Realsen Md

Other Identifiers 1

Medicaid104838200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jaime Marie Realsen Hall Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

79.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.34

Promoting Interoperability

100

Improvement Activities

Cost

55.23

Referred Medical Equipment & Supplies CMS DME claims 2

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

Collagen dressing, sterile, size more than 48 sq. in., each A6023

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims144 services$184.93 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers19 claims19 services$204.06 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 20

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

CHRISTINE LILLARD

Nurse Practitioner (Family)