Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MARY ALICE HALL MD
NPI 1083725204
Family Medicine in Mc Dowell, KY

Active since August 31, 2006PECOS Enrolled
9788 KY RT 122, STE 2, MC DOWELL, KY 41647(606) 377-2492(606) 377-1018 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Alice Hall Md NPPES

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

MS. MARY ALICE HALL MD (NPI 1083725204) is an individual family medicine provider in Mc Dowell, Kentucky, licensed in Kentucky (13655) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mcdowell Arh Hospital, and is a graduate of University Of Louisville School Of Medicine (1963).

NPPES Registry Identity

NPI1083725204
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. MARY ALICE HALLCredential: MD
Location Address9788 KY RT 122, STE 2Mc Dowell, KY 41647-6042
Mailing AddressPo Box 277Mc Dowell, KY 41647-0277 · (606) 377-2492 · Fax (606) 377-3404
Fax(606) 377-1018
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1963
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1083725204 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 · 13655
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.
9788 KY RT 122, Mc Dowell, KY 41647

Other Identifiers 6

Other020364400Federal Black Lung/dol
Medicaid64136559KY
Other0303224Umwa
Other230264400Dept Of Labor/acs Unit/wo
Other000000048789Anthem Blue Cross/shield
Other011769726Palmetto Railroad Medicar

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

Ms. Mary 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 ID4880683838
PECOS Enrollment IDI20100527000775
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 3

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 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.
395 services82 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Mcdowell Arh Hospital

Critical Access Hospitals · Mc Dowell, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181331
Location9879 Kentucky Route 122Mc Dowell, KY 41647 · Floyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41647 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
3 suppliers33 claims63 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims23 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers34 claims34 services$19.40 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
2 suppliers34 claims34 services$108.23 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers23 claims5,730 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers21 claims21 services$23.67 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 2

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

Surgery
9788 KY RT 122, STE 2
MC DOWELL, KY 41647
Family Medicine
9788 KY RT 122, STE 2
MC DOWELL, KY 41647

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 Mary Hall's NPI number?

The NPI number for Mary Hall is 1083725204. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Hall located?

Mary Hall practices at 9788 Ky Rt 122 Ste 2, Mc Dowell, KY 41647. The listed phone number is (606) 377-2492.

What is Mary Hall's specialty?

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

Is Mary Hall enrolled in Medicare?

Yes. Mary 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 Mary Hall accept?

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

According to CMS data, Mary Hall is affiliated with Mcdowell Arh Hospital.

When was this NPI record last updated?

The NPPES record for Mary Hall was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.