MRS. CARLA JO HALE PAC
NPI 1154315430
Physician Assistant - Medical in Glasgow, KY

Q: What is Carla Hale's NPI number?

The NPI number for Carla Hale is 1154315430. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Q: What is Carla Hale's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Carla Hale was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment

87.62/100

CMS Quality Rating

310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141(270) 659-5885(270) 659-5852 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Oct 23, 2019 (2 updates tracked since 2019).

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About Mrs. Carla Jo Hale Pac NPPES

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

MRS. CARLA JO HALE PAC (NPI 1154315430) is an individual medical provider in Glasgow, Kentucky, licensed in Kentucky (PA325) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Kentucky University Medical Department (1996).

NPPES Registry Identity

NPI1154315430

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. CARLA JO HALECredential: PAC

Location Address310 N L ROGERS WELLS BLVDGlasgow, KY 42141-1300

Mailing Address310 N L Rogers Wells BlvdGlasgow, KY 42141-1300 · (270) 659-5885 · Fax (270) 659-5852

Phone(270) 659-5885

Fax(270) 659-5852

Sole ProprietorNo

Medical School CMSKentucky University Medical DepartmentGraduated 1996

Enumeration DateSeptember 1, 2005

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1154315430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · PA325

310 N L ROGERS WELLS BLVD, Glasgow, KY 42141

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Other Identifiers 1

Medicaid9500246500KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Carla Jo Hale Pac 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 ID6507995933

PECOS Enrollment IDI20100524000680

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 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.

231 services106 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.

16 services16 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

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.

87.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

47.2

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

19%195 patients1/55-star benchmark: 100%

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.

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

7 suppliers23 claims60 services$5.42 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers15 claims22 services$1.03 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

3 suppliers22 claims22 services$16.75 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 suppliers30 claims30 services$99.67 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 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

2 suppliers22 claims3,429 services$0.03 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 20

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

CARLOS ENRIQUE KUMMERFELDT FABIAN M.D.

Internal Medicine (Pulmonary Disease)