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MICHAEL M HALL M.D.
NPI 1245348382
Orthopaedic Surgery in Kansas City, MO

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
373 W 101ST TER, KANSAS CITY, MO 64114(816) 942-8200(913) 495-3760 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2021, May 7, 2021, Aug 5, 2019 (3 updates tracked since 2019).

About Michael M Hall M.d. NPPES

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

MICHAEL M HALL M.D. (NPI 1245348382) is an individual orthopaedic surgery provider in Kansas City, Missouri, licensed in Missouri (114943) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Chicago College Of Medicine And Surgery (1991).

NPPES Registry Identity

NPI1245348382
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL M HALLCredential: M.D.
Location Address373 W 101ST TERKansas City, MO 64114-4498
Mailing Address8550 Marshall Dr Ste 220Lenexa, KS 66214-1505 · (816) 942-8200 · Fax (913) 495-3760
Phone(816) 942-8200
Fax(913) 495-3760
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1991
Enumeration DateAugust 28, 2006
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1245348382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · 114943
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
373 W 101ST TER, Kansas City, MO 64114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Michael M 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 ID3678608775
PECOS Enrollment IDI20100315000617, I20100315000632
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
181 services43 patients
X-ray of hand, 2 views 73120
An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.
106 services74 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
69 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 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.
57 services45 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.
39 services31 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

BERNARD O JUDY MD
Internal Medicine
373 W 101ST TER
KANSAS CITY, MO 64114
Jackson County (816) 942-8200
MR. BRIAN SCOTT SIMPSON PT
Physical Therapist
373 W 101ST TER, STE 200
KANSAS CITY, MO 64114
Jackson County (816) 246-1456
THE SURGICAL GROUP OF KANSAS CITY P.C.
Surgery
373 W 101ST TER, SUITE 210
KANSAS CITY, MO 64114
Jackson County (816) 333-9500
SHERRY NAN MICHAEL MSW
Social Worker (Clinical)
373 W 101ST TER
KANSAS CITY, MO 64114
Jackson County (816) 753-3333
CYNTHIA J GLASS M.D.
Internal Medicine
373 W 101ST TER
KANSAS CITY, MO 64114
Jackson County (816) 942-8200
REX M JOYCE M.D.
Surgery
373 W 101ST TER, SUITE 210
KANSAS CITY, MO 64114
Jackson County (816) 333-9500
DR. THOMAS A FRANEY M.D.
Surgery
373 W 101ST TER, SUITE 210
KANSAS CITY, MO 64114
Jackson County (816) 333-9500
TREY AGUIRRE
Physical Therapist
373 W 101ST TER
KANSAS CITY, MO 64114
Jackson County (816) 489-4161

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 Michael Hall's NPI number?

The NPI number for Michael Hall is 1245348382. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Michael Hall located?

Michael Hall practices at 373 W 101st Ter, Kansas City, MO 64114. The listed phone number is (816) 942-8200.

What is Michael Hall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Hall enrolled in Medicare?

Yes. Michael 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 Michael Hall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Michael 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 Michael Hall affiliated with any hospitals?

According to CMS data, Michael Hall is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Michael Hall was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.