DR. HOLLY MARIE HALL M.D.
NPI 1053573246
Family Medicine in Lexington, KY

Q: What is Holly Hall's NPI number?

The NPI number for Holly Hall is 1053573246. It was assigned to this individual provider in the NPPES registry on June 28, 2008.

Q: What is Holly Hall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Hall was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 28, 2008PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

1740 NICHOLASVILLE RD, LEXINGTON, KY 40503(859) 260-6100(859) 260-4350 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Holly Marie Hall M.d. NPPES

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

DR. HOLLY MARIE HALL M.D. (NPI 1053573246) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (42099) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (2006).

NPPES Registry Identity

NPI1053573246

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HOLLY MARIE HALLCredential: M.D.

Location Address1740 NICHOLASVILLE RDLexington, KY 40503-1431

Mailing Address799 E Brannon RdNicholasville, KY 40356-6038 · (859) 971-4670 · Fax (859) 971-4604

Phone(859) 260-6100

Fax(859) 260-4350

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006

Enumeration DateJune 28, 2008

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1053573246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 42099

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.

1740 NICHOLASVILLE RD, Lexington, KY 40503

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Other Identifiers 1

Medicaid7100092440KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Holly Marie 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 ID4789744277

PECOS Enrollment IDI20081113000227

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 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.

24 services24 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.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers22 claims22 services$18.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers33 claims33 services$104.27 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.

MR. JAMES RANSOM ADAIR PA-C

Physician Assistant

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 277-8179

MR. DANNY LEE PERRY

Pharmacist

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6659

TYLER BENNETT MCLAURINE

Hospitalist

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6348

KENTUCKY BREAST IMAGING PLLC

Radiology (Diagnostic Radiology)

1740 NICHOLASVILLE RD, CENTRAL BAPTIST HOSPITAL
LEXINGTON, KY 40503

Fayette County (877) 459-2290

BAPTIST PHYSICIANS LEXINGTON, INC

Internal Medicine

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6104

JOSHUA ADAM WIRTH

Nurse Practitioner (Family)

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6348

PHILIP FIELDS PHARMD

Pharmacist

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6633

DR. LAYLA MAREFAT PHARMD

Pharmacist

1740 NICHOLASVILLE RD
LEXINGTON, KY 40503

Fayette County (859) 260-6100

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 Holly Hall's NPI number?

The NPI number for Holly Hall is 1053573246. It was assigned to this individual provider in the NPPES registry on June 28, 2008.

Where is Holly Hall located?

Holly Hall practices at 1740 Nicholasville Rd, Lexington, KY 40503. The listed phone number is (859) 260-6100.

What is Holly Hall's specialty?

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

Is Holly Hall enrolled in Medicare?

Yes. Holly 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 Holly Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Holly 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 Holly Hall affiliated with any hospitals?

According to CMS data, Holly Hall is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Holly Hall was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.