RICHARD A HALL M.D.
NPI 1134178353
Internal Medicine - Adolescent Medicine in Mount Sterling, KY

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
633 MAYSVILLE RD, MOUNT STERLING, KY 40353(859) 404-7686 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard A Hall M.d. NPPES

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

RICHARD A HALL M.D. (NPI 1134178353) is an individual adolescent medicine provider in Mount Sterling, Kentucky, licensed in Kentucky (28173) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mount Sterling, and maintains a secondary practice location in Mt. Sterling.

NPPES Registry Identity

NPI1134178353
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameRICHARD A HALLCredential: M.D.
Location Address633 MAYSVILLE RDMount Sterling, KY 40353-9767
Mailing AddressPo Box 1328Mt. Sterling, KY 40353 · (859) 404-7686 · Fax (859) 274-0785
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1990
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1134178353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in KY · 28173
Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

633 MAYSVILLE RD, Mount Sterling, KY 40353

Secondary Practice Location 1

Location 1209 North Maysville Road, Suite 200Mt. Sterling, KY 40353 · Phone (859) 404-7686 · Fax (859) 274-0785

Other Identifiers 3

OtherP40036028KY · Medicare
Other000000185160KY · Anthem
Medicaid64281736KY

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

Richard A 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 ID7810950219
PECOS Enrollment IDI20110216000497
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
46 services26 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

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
10 suppliers37 claims56 services$4.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims12 services$0.86 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
3 suppliers20 claims20 services$98.66 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
4 suppliers15 claims4,185 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers21 claims21 services$23.58 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 11

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

Pharmacy (Community/Retail Pharmacy)
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Nurse Practitioner (Family)
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Physician Assistant
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Psychologist
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Clinic/Center (Federally Qualified Health Center (FQHC))
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Nurse Practitioner (Psychiatric/Mental Health)
633 MAYSVILLE RD
MOUNT STERLING, KY 40353
Social Worker (Clinical)
633 MAYSVILLE RD
MT STERLING, KY 40353
Pediatrics
633 MAYSVILLE RD
MOUNT STERLING, KY 40353

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 Richard Hall's NPI number?

The NPI number for Richard Hall is 1134178353. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Richard Hall located?

Richard Hall practices at 633 Maysville Rd, Mount Sterling, KY 40353. The listed phone number is (859) 404-7686.

What is Richard Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Richard Hall enrolled in Medicare?

Yes. Richard 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 Richard Hall accept?

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

According to CMS data, Richard Hall is affiliated with Saint Joseph Mount Sterling, Clark Regional Medical Center and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Richard Hall was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.