DR. CLINTON RYAN HALL M.D.
NPI 1306055009
Surgery in Winter Haven, FL

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
635 1ST ST N, WINTER HAVEN, FL 33881(863) 294-0670 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2020, Jul 6, 2020, Mar 2, 2016 (3 updates tracked since 2016).

About Dr. Clinton Ryan Hall M.d. NPPES

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

DR. CLINTON RYAN HALL M.D. (NPI 1306055009) is an individual surgery provider in Winter Haven, Florida, licensed in Florida (ME107524) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of University Of South Florida College Of Medicine (2004).

NPPES Registry Identity

NPI1306055009
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CLINTON RYAN HALLCredential: M.D.
Location Address635 1ST ST NWinter Haven, FL 33881-4129
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-7496
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2004
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 28, 20243 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1306055009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME107524
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
635 1ST ST N, Winter Haven, FL 33881

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Clinton Ryan 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 ID7517019433
PECOS Enrollment IDI20100819000715
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

2

Medicare enrollment records show Clinton Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
635 1ST ST N
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 9

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
73 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services33 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.
36 services31 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
23 services23 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.
23 services20 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine (Nephrology)
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Nurse Practitioner (Family)
635 1ST ST N
WINTER HAVEN, FL 33881
Psychologist
635 1ST ST N
WINTER HAVEN, FL 33881
Internal Medicine
635 1ST ST N
WINTER HAVEN, FL 33881
Family Medicine
635 1ST ST N
WINTER HAVEN, FL 33881

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 Clinton Hall's NPI number?

The NPI number for Clinton Hall is 1306055009. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Clinton Hall located?

Clinton Hall practices at 635 1st St N, Winter Haven, FL 33881. The listed phone number is (863) 294-0670.

What is Clinton Hall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Clinton Hall enrolled in Medicare?

Yes. Clinton 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.

Which organizations bill Medicare for Clinton Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Hall reassigns Medicare benefits to 2 organizations: Gessler Clinic Professional Association (Winter Haven, FL) and Baycare Medical Group, Inc. (Clearwater, FL). 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 Clinton Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Hall accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Clinton 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 Clinton Hall affiliated with any hospitals?

According to CMS data, Clinton Hall is affiliated with Winter Haven Hospital and St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Clinton Hall was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.