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EDWARD C HALL MD
NPI 1104819978
Obstetrics & Gynecology in Edgewood, KY

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2440(859) 301-2493 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward C Hall Md NPPES

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

EDWARD C HALL MD (NPI 1104819978) is an individual obstetrics & gynecology provider in Edgewood, Kentucky, licensed in Kentucky (26580) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1973).

NPPES Registry Identity

NPI1104819978
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameEDWARD C HALLCredential: MD
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-2440 · Fax (859) 301-2493
Phone(859) 301-2440
Fax(859) 301-2493
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1973
Enumeration DateAugust 26, 2005
Last NPPES UpdateSeptember 21, 2018
✔ NPI 1104819978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 26580
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 26580 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
Open in Google Maps ↗

Other Identifiers 2

Medicaid64265804KY
Other160051936KY · Rail Road Medicare

Accepted Insurance

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

Edward C 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 ID8426159856
PECOS Enrollment IDI20230203001924
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

3

Medicare enrollment records show Edward Hall reassigns Medicare billing to 3 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
Mercy Health Physicians Cincinnati Specialty Care LLC
19 mi
Surgery
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 481 clinicians in this Medicare group
NPI 1154942795 (888) 696-3541
Pediatrix Medical Group Of Ohio Corp
55 mi
Neonatal-Perinatal Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group
NPI 1467559179 (937) 208-8000

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

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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Edward Hall's NPI number?

The NPI number for Edward Hall is 1104819978. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Edward Hall located?

Edward Hall practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-2440.

What is Edward Hall's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edward Hall enrolled in Medicare?

Yes. Edward 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 Edward Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Hall reassigns Medicare benefits to 3 organizations: Summit Medical Group, Inc (Erlanger, KY), Mercy Health Physicians Cincinnati Specialty Care LLC (Blue Ash, OH) and Pediatrix Medical Group Of Ohio Corp (Dayton, OH). 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 Edward Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Hall accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Edward 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 Edward Hall was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.