DR. THOMAS CARL HALL MD
NPI 1174578280
Dermatology in Stillwater, OK

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1329 S SANGRE RD, STILLWATER, OK 74074(405) 533-3376(405) 533-1312 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Carl Hall Md NPPES

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

DR. THOMAS CARL HALL MD (NPI 1174578280) is an individual dermatology provider in Stillwater, Oklahoma, licensed in Oklahoma (22869) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2002).

NPPES Registry Identity

NPI1174578280
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. THOMAS CARL HALLCredential: MD
Location Address1329 S SANGRE RDStillwater, OK 74074-1854
Mailing AddressPo Box 1583Stillwater, OK 74076-1500 · (405) 533-3376 · Fax (405) 533-1312
Fax(405) 533-1312
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2002
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 13, 2016
NPI 1174578280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OK · 22869
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1329 S SANGRE RD, Stillwater, OK 74074

Other Identifiers 2

Medicare PIN248628703OK
Medicare UPINI34760OK

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

Dr. Thomas Carl 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 ID2769425941
PECOS Enrollment IDI20050801001051
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 23

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,391 services609 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.
1,398 services879 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
923 services706 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
621 services496 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
597 services334 patients
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.
534 services319 patients

Hospital Affiliations CMS Care Compare

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

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74074 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
92%1,236 patients4/55-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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
1329 S SANGRE RD
STILLWATER, OK 74074
Dermatology
1329 S SANGRE RD
STILLWATER, OK 74074
Specialist
1329 S SANGRE RD
STILLWATER, OK 74074
Dermatology
1329 S SANGRE RD
STILLWATER, OK 74074
Dermatology
1329 S SANGRE RD
STILLWATER, OK 74074

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 Thomas Hall's NPI number?

The NPI number for Thomas Hall is 1174578280. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Thomas Hall located?

Thomas Hall practices at 1329 S Sangre Rd, Stillwater, OK 74074. The listed phone number is (405) 533-3376.

What is Thomas Hall's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Thomas Hall enrolled in Medicare?

Yes. Thomas 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 Thomas Hall accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Thomas 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 Thomas Hall affiliated with any hospitals?

According to CMS data, Thomas Hall is affiliated with Stillwater Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Hall was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.