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DR. ANDREW JUSTIN HALL M.D.
NPI 1295732691
Radiology - Diagnostic Radiology in Wilmington, NC

Active since June 30, 2005PECOS Enrolled
80.29/100
CMS Quality Rating
1025 MEDICAL CENTER DR, DELANEY RADIOLOGISTS GROUP, PLLC, WILMINGTON, NC 28401(910) 763-1800(910) 763-6419 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Andrew Justin Hall M.d. NPPES

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

DR. ANDREW JUSTIN HALL M.D. (NPI 1295732691) is an individual diagnostic radiology provider in Wilmington, North Carolina, licensed in North Carolina (00222) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295732691
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ANDREW JUSTIN HALLCredential: M.D.
Location Address1025 MEDICAL CENTER DR, DELANEY RADIOLOGISTS GROUP, PLLCWilmington, NC 28401
Mailing Address1025 Medical Center Dr, Delaney Radiologists Group, PllcWilmington, NC 28401 · (910) 763-1800 · Fax (910) 763-6419
Phone(910) 763-1800
Fax(910) 763-6419
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295732691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 00222
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1025 MEDICAL CENTER DR, Wilmington, NC 28401
Open in Google Maps ↗

Other Identifiers 2

Medicaid7901897NC
Medicaid8901898NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Justin Hall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Hall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delaney Radiologists Group PLLC
Same address
Specialist
1025 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1912982166 (910) 343-4934
Delaney Radiologists PA
Same address
Specialist
1025 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1902881147 (910) 762-3882
Wilmington Health PLLC
0.3 mi
Multi-Specialty
1202 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 444 clinicians in this Medicare group
NPI 1881632339 (910) 341-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.07
Improvement Activities40
Cost43.34

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.

DR. AARON D KLINE M.D.
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
DR. ANDREW JAMES ADAMSON M.D.
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
SHANNON MICHELLE WHITAKER PA
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 341-1886
NATHAN WOODWARD PA-C
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
DEVYN LOCKLEY GEIS PA-C
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
DR. THOMAS SCOTT DZIEDZIC M.D.
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
ANDREW RAY
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 762-3882
DR. LARRY NEAL BEARD JR. M.D.
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
New Hanover County (910) 763-1800

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 Andrew Hall's NPI number?

The NPI number for Andrew Hall is 1295732691. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Andrew Hall located?

Andrew Hall practices at 1025 Medical Center Dr Delaney Radiologists Group, PLLC, Wilmington, NC 28401. The listed phone number is (910) 763-1800.

What is Andrew Hall's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andrew Hall enrolled in Medicare?

Yes. Andrew Hall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Hall reassigns Medicare benefits to 3 organizations: Delaney Radiologists Group PLLC (Wilmington, NC), Delaney Radiologists PA (Wilmington, NC) and Wilmington Health PLLC (Wilmington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Hall accept?

Health plans from Cigna Healthcare list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Hall was last updated on March 7, 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.