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MARY JEAN HALL MEDICAL DOCTOR
NPI 1265506448
Dermatology in Morgantown, WV

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1000 MON HEALTH MEDICAL PARK DR, SUITE 1100, MORGANTOWN, WV 26505(304) 599-1448(304) 598-7219 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2016, Oct 24, 2016 (2 updates tracked since 2016).

About Mary Jean Hall Medical Doctor NPPES

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

MARY JEAN HALL MEDICAL DOCTOR (NPI 1265506448) is an individual dermatology provider in Morgantown, West Virginia, licensed in West Virginia (20379) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and is a graduate of West Virginia University School Of Medicine (1998).

NPPES Registry Identity

NPI1265506448
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARY JEAN HALLCredential: MEDICAL DOCTOR
Location Address1000 MON HEALTH MEDICAL PARK DR, SUITE 1100Morgantown, WV 26505-1104
Mailing AddressPo Box 1615Morgantown, WV 26507-1615 · (304) 285-3679 · Fax (304) 285-3694
Phone(304) 599-1448
Fax(304) 598-7219
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1998
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 14, 20162 updates tracked since enumeration
✔ NPI 1265506448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WV · 20379
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.
1000 MON HEALTH MEDICAL PARK DR, Morgantown, WV 26505
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Other Identifiers 5

Medicare UPINH59396
Medicare PINWV6328C185WV
Other001712123Bcbs
Medicaid2004673000WV
OtherP01617603WV · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mary Jean Hall Medical Doctor 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 ID2961449020
PECOS Enrollment IDI20050411001181
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 10

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.
1,053 services152 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.
329 services216 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.
317 services182 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.
152 services105 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
113 services90 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.
107 services87 patients

Hospital Affiliations CMS Care Compare

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ANDRZEJ J JAWORSKI M.D
Internal Medicine (Pulmonary Disease)
1000 MON HEALTH MEDICAL PARK DR, SUITE 1100
MORGANTOWN, WV 26505
Monongalia County (304) 598-2801
RIME ABBAS
Internal Medicine (Pulmonary Disease)
1000 MON HEALTH MEDICAL PARK DR, SUITE 1100
MORGANTOWN, WV 26505
Monongalia County (304) 598-2801

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 Mary Hall's NPI number?

The NPI number for Mary Hall is 1265506448. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mary Hall located?

Mary Hall practices at 1000 Mon Health Medical Park Dr Suite 1100, Morgantown, WV 26505. The listed phone number is (304) 599-1448.

What is Mary Hall's specialty?

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

Is Mary Hall enrolled in Medicare?

Yes. Mary 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 Mary Hall accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mary 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 Mary Hall affiliated with any hospitals?

According to CMS data, Mary Hall is affiliated with Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Hall was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.