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TONYA E.L. HALL M.D.
NPI 1104813724
Internal Medicine - Gastroenterology in Norwich, CT

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
105 WAWECUS ST, SUITE 1, NORWICH, CT 06360(860) 859-9061(860) 889-6200 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tonya E.l. Hall M.d. NPPES

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

TONYA E.L. HALL M.D. (NPI 1104813724) is an individual gastroenterology provider in Norwich, Connecticut, licensed in Connecticut (041717) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1997).

NPPES Registry Identity

NPI1104813724
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameTONYA E.L. HALLCredential: M.D.
Location Address105 WAWECUS ST, SUITE 1Norwich, CT 06360-2146
Mailing Address105 Wawecus St, Suite 1Norwich, CT 06360-2146 · (860) 859-9061 · Fax (860) 889-6200
Phone(860) 859-9061
Fax(860) 889-6200
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1997
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 15, 2014
✔ NPI 1104813724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CT · 041717
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
105 WAWECUS ST, Norwich, CT 06360
Open in Google Maps ↗

Other Identifiers 9

Other010041717CT02CT · Anthem Bcbs Of Ct
OtherP3133205CT · Oxford Health Plan
Medicare ID-Type UnspecifiedP00209399Railroad
Medicare ID-Type Unspecified100000367CT
Other041717CT · Connecticare
Other2V4058CT · Healthnet Ne
Other3339271CT · Aetna Hmo
Other7120543CT · Aetna Ppo
Medicare UPINH94096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Tonya E.l. 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 ID7517001415
PECOS Enrollment IDI20130923000814
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

2

Medicare enrollment records show Tonya Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Community And Family Services, Inc.
1.0 mi
Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
NPI 1467482539 (860) 892-7042
Connecticut Gi PLLC
33 mi
Gastroenterology
85 SEYMOUR ST, 1000
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 417 clinicians in this Medicare group
NPI 1023124625 (860) 246-2571

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 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.
97 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services41 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
43 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services23 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.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%402 patients4/55-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%1,258 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,416 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%135 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
82%688 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%1,106 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
72%1,106 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%1,106 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 242 patients
1%242 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%1,106 patients
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 4

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

YOU SUNG SANG M.D.
Internal Medicine (Gastroenterology)
105 WAWECUS ST, SUITE 1
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-9061
JOHN J GIACCHETTO MD PC
Orthopaedic Surgery
105 WAWECUS ST, SUITE 2
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-1116
JOHN J GIACCHETTO MD PC
Orthopaedic Surgery
105 WAWECUS ST, SUITE 2
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 889-1116
AYESHA SUNDUS SIDDIQUE MD
Pathology (Anatomic Pathology & Clinical Pathology)
105 WAWECUS ST
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 972-6113

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 Tonya Hall's NPI number?

The NPI number for Tonya Hall is 1104813724. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Tonya Hall located?

Tonya Hall practices at 105 Wawecus St Suite 1, Norwich, CT 06360. The listed phone number is (860) 859-9061.

What is Tonya Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tonya Hall enrolled in Medicare?

Yes. Tonya 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 Tonya Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Hall reassigns Medicare benefits to 2 organizations: United Community And Family Services, Inc. (Norwich, CT) and Connecticut Gi PLLC (Hartford, CT). 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 Tonya Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Hall accept?

Health plans from Anthem Blue Cross and Blue Shield list Tonya 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.

When was this NPI record last updated?

The NPPES record for Tonya Hall was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.