MRS. MEGAN MARLENE HALL
NPI 1134595820
Nurse Practitioner - Gerontology in Cincinnati, OH

Active since August 17, 2015PECOS EnrolledAccepts Medicare Assignment
88.56/100
CMS Quality Rating
4440 RED BANK RD STE 110, CINCINNATI, OH 45227(513) 564-1366(513) 564-1367 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2018, Feb 24, 2016 (2 updates tracked since 2016).

About Mrs. Megan Marlene Hall NPPES

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

MRS. MEGAN MARLENE HALL (NPI 1134595820) is an individual gerontology provider in Cincinnati, Ohio, licensed in Ohio (COA 18719 NP) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134595820
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. MEGAN MARLENE HALL
Location Address4440 RED BANK RD STE 110Cincinnati, OH 45227
Mailing Address4440 Red Bank Rd Ste 110Cincinnati, OH 45227-2177 · (513) 564-1366 · Fax (513) 564-1367
Fax(513) 564-1367
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 17, 2015
Last NPPES UpdateDecember 21, 20182 updates tracked since enumeration
NPI 1134595820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · COA 18719 NP
4440 RED BANK RD STE 110, Cincinnati, OH 45227

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

Mrs. Megan Marlene Hall 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 ID1658661889
PECOS Enrollment IDI20160531002591, I20230421001334
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 8

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.
82 services80 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services28 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.
51 services51 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
44 services44 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
23 services22 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

88.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.86
Promoting Interoperability100
Improvement Activities40
Cost71

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.40 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 6

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

Family Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227
Family Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227
Emergency Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227
Internal Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227
Family Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227
Family Medicine
4440 RED BANK RD STE 110
CINCINNATI, OH 45227

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 Megan Hall's NPI number?

The NPI number for Megan Hall is 1134595820. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Megan Hall located?

Megan Hall practices at 4440 Red Bank Rd Ste 110, Cincinnati, OH 45227. The listed phone number is (513) 564-1366.

What is Megan Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Megan Hall enrolled in Medicare?

Yes. Megan 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 Megan Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Megan 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 Megan Hall affiliated with any hospitals?

According to CMS data, Megan Hall is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Megan Hall was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.