1. Home
  2. Directory
  3. Kentucky
  4. Edgewood
  5. Hospitalist
  6. NPI Profile

ALICE HALL MD
NPI 1033105879
Hospitalist in Edgewood, KY

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-8074(859) 301-4945 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2023, Sep 12, 2019 (2 updates tracked since 2019).

About Alice Hall Md NPPES

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

ALICE HALL MD (NPI 1033105879) is an individual hospitalist provider in Edgewood, Kentucky, licensed in Kentucky (39800) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Southern Illinois University School Of Medicine (2005).

NPPES Registry Identity

NPI1033105879
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameALICE HALLCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-8074 · Fax (859) 301-4945
Phone(859) 301-8074
Fax(859) 301-4945
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2005
Enumeration DateSeptember 27, 2005
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1033105879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 39800
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 39800 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
Open in Google Maps ↗

Other Identifiers 8

Medicaid64108012KY
Other085126KY · Siho- Norton
Other000057058BKY · Humana- Norton
OtherP00466908KY · Railroad Medicare Ky- Norton Cma
Other8757615KY · Cigna- Norton
Other000000523969KY · Anthem- Norton
Other3315920000KY · Passport Advant.-norton
Other50016938KY · Passport

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CHRISTUS Health Plan, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice 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 ID749215689
PECOS Enrollment IDI20241118003050
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Alice Hall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc
4.0 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555
24 On Physicians, PC
95 mi
Hospitalist
217 S 3RD ST
Danville, KY 40422
  • Reassigned Medicare billing, Kentucky enrollment
  • 89 clinicians in this Medicare group
NPI 1679522346 (800) 923-2247
Belle Chasse Physician Services LLC
702 mi
Hospitalist
2500 BELLE CHASSE HWY
Terrytown, LA 70056
  • Reassigned Medicare billing, Louisiana enrollment
  • 417 clinicians in this Medicare group
NPI 1245653237 (800) 893-9698
Rosebud Indian Health Service
898 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

Ochsner Medical Center-Hancock

Acute Care Hospitals · Bay Saint Louis, MS
OwnershipGovernment - Local
CMS Certification Number250162
Location149 Drinkwater BlvdBay Saint Louis, MS 39520 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%233 patients5/55-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.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074
DR. STEPHEN G MOELLER MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2160

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 Alice Hall's NPI number?

The NPI number for Alice Hall is 1033105879. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Alice Hall located?

Alice Hall practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-8074.

What is Alice Hall's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Alice Hall enrolled in Medicare?

Yes. Alice 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.

Which organizations bill Medicare for Alice Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Hall reassigns Medicare benefits to 4 organizations: Summit Medical Group, Inc (Erlanger, KY), 24 On Physicians, PC (Danville, KY), Belle Chasse Physician Services LLC (Terrytown, LA) and Rosebud Indian Health Service (Rosebud, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Hall accept?

Health plans from CHRISTUS Health Plan, CareSource, Cigna Healthcare and HMO Louisiana list Alice 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 Alice Hall affiliated with any hospitals?

According to CMS data, Alice Hall is affiliated with Ochsner Medical Center Acute, Slidell Memorial Hospital and Ochsner Medical Center-Hancock.

When was this NPI record last updated?

The NPPES record for Alice Hall was last updated on August 22, 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.