DR. JAMES KEVIN HALL M.D.
NPI 1336437359
Internal Medicine - Interventional Cardiology in Kearney, NE

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
816 22ND AVE STE 100, KEARNEY, NE 68845(308) 865-2263 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2023, Jun 8, 2023, Mar 7, 2023 and 1 more (4 updates tracked since 2019).

About Dr. James Kevin Hall M.d. NPPES

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

DR. JAMES KEVIN HALL M.D. (NPI 1336437359) is an individual interventional cardiology provider in Kearney, Nebraska, licensed in Nebraska (35970) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Phillips County Hospital, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1336437359
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JAMES KEVIN HALLCredential: M.D.
Location Address816 22ND AVE STE 100Kearney, NE 68845-2226
Mailing Address816 22nd Ave Ste 100Kearney, NE 68845-2226 · (308) 865-2263
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1336437359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in NE · 35970 Licensed in MS · 23205
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125060477 (IL)
Also ListedHospitalistTaxonomy 208M00000X · License 23205 (MS)
816 22ND AVE STE 100, Kearney, NE 68845

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. James Kevin 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 ID9739301268
PECOS Enrollment IDI20230920001950, I20241224001163
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
965 services589 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
266 services126 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
244 services230 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.
185 services114 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.
138 services111 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
127 services85 patients

Hospital Affiliations CMS Care Compare 5

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

Phillips County Hospital

Critical Access Hospitals · Phillipsburg, KS
OwnershipGovernment - Local
CMS Certification Number171353
Location1150 State StreetPhillipsburg, KS 67661 · Phillips County
Emergency services

Smith County Memorial Hospital

Critical Access Hospitals · Smith Center, KS
OwnershipGovernment - Local
CMS Certification Number171377
Location921 E. Highway 36Smith Center, KS 66967 · Smith County
Emergency services

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Kearney Regional Medical Center

Acute Care Hospitals · Kearney, NE
4/5 CMS rating
OwnershipProprietary
CMS Certification Number280134
Location804 22nd AvenueKearney, NE 68845 · Buffalo County
Emergency services Birthing friendly

Cozad Community Hospital

Critical Access Hospitals · Cozad, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281327
LocationP O Box 108, 300 East 12th StCozad, NE 69130 · Dawson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68845 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier30 claims30 services$2,134.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
816 22ND AVE STE 100
KEARNEY, NE 68845
Family Medicine
816 22ND AVE STE 100
KEARNEY, NE 68845
Nurse Practitioner
816 22ND AVE STE 100
KEARNEY, NE 68845
Thoracic Surgery (Cardiothoracic Vascular Surgery)
816 22ND AVE STE 100
KEARNEY, NE 68845
Nurse Practitioner
816 22ND AVE STE 100
KEARNEY, NE 68845
Internal Medicine (Interventional Cardiology)
816 22ND AVE STE 100
KEARNEY, NE 68845
Psychiatry & Neurology (Neurology)
816 22ND AVE STE 100
KEARNEY, NE 68845
Dietitian, Registered
816 22ND AVE STE 100
KEARNEY, NE 68845

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 James Hall's NPI number?

The NPI number for James Hall is 1336437359. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is James Hall located?

James Hall practices at 816 22nd Ave Ste 100, Kearney, NE 68845. The listed phone number is (308) 865-2263.

What is James Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is James Hall enrolled in Medicare?

Yes. James 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 James Hall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Kansas, Inc. and 4 other insurers list James 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 James Hall affiliated with any hospitals?

According to CMS data, James Hall is affiliated with Phillips County Hospital, Smith County Memorial Hospital, Chi Health Good Samaritan, Kearney Regional Medical Center and Cozad Community Hospital.

When was this NPI record last updated?

The NPPES record for James Hall was last updated on November 6, 2023. 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.