DR. CHARLES SCOTT HALL MD
NPI 1386637163
Internal Medicine - Pulmonary Disease in Bay Shore, NY

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
370 E MAIN ST, SUITE 5, BAY SHORE, NY 11706(631) 666-5806(631) 666-1187 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Scott Hall Md NPPES

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

DR. CHARLES SCOTT HALL MD (NPI 1386637163) is an individual pulmonary disease provider in Bay Shore, New York, licensed in New York (208545) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1386637163
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CHARLES SCOTT HALLCredential: MD
Location Address370 E MAIN ST, SUITE 5Bay Shore, NY 11706-8415
Mailing Address370 East Main Street, Suite 5Bay Shore, NY 11706 · (631) 666-5806 · Fax (631) 666-1187
Fax(631) 666-1187
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateAugust 26, 2005
Last NPPES UpdateJanuary 6, 2011
NPI 1386637163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NY · 208545 Licensed in AZ · 31223
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 208545 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 208545 (NY)
370 E MAIN ST, Bay Shore, NY 11706

Other Identifiers 4

Medicaid02831529NY
Medicaid853417AZ
Medicare UPINH89257AZ
Medicare ID-Type Unspecified74267AZ

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. Charles Scott Hall Md 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 ID5193826709
PECOS Enrollment IDI20070726000641
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 18

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.

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.
831 services513 patients
Professional services for outpatient pulmonary rehabilitation, per session 94625
Outpatient pulmonary rehabilitation is a program designed to improve lung function and quality of life for individuals with lung conditions. Each session may include exercises, education, and support tailored to your needs, all under professional supervision.
445 services38 patients
Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) G0239
This service involves therapeutic activities designed to enhance your respiratory function. It includes exercises to strengthen your respiratory muscles and improve endurance. The process is closely monitored by professionals to ensure safety and effectiveness.
417 services28 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
288 services263 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
238 services154 patients
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels G0400
A Home Sleep Test (HST) with a Type IV Portable Monitor is a non-invasive test done at home. It records your sleep patterns, breathing, oxygen levels, and heart rate to help diagnose sleep disorders like sleep apnea. It's unattended and uses minimum of 3 channels for data collection.
154 services154 patients

Hospital Affiliations CMS Care Compare 4

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers302 claims302 services$33.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers16 claims33 services$1.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers151 claims151 services$76.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers141 claims372 services$27.55 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers137 claims768 services$15.37 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers57 claims307 services$12.46 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 5

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

Psychiatry & Neurology (Neurology)
370 E MAIN ST, SUITE 1
BAY SHORE, NY 11706
Psychiatry & Neurology (Neurology)
370 E MAIN ST, SUITE 1
BAY SHORE, NY 11706
Nurse Practitioner (Family)
370 E MAIN ST
BAY SHORE, NY 11706
Psychiatry & Neurology (Clinical Neurophysiology)
370 E MAIN ST, SUITE 1
BAY SHORE, NY 11706
Psychiatry & Neurology (Vascular Neurology)
370 E MAIN ST, SUITE 1
BAY SHORE, NY 11706

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 Charles Hall's NPI number?

The NPI number for Charles Hall is 1386637163. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Charles Hall located?

Charles Hall practices at 370 E Main St Suite 5, Bay Shore, NY 11706. The listed phone number is (631) 666-5806.

What is Charles Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Charles Hall enrolled in Medicare?

Yes. Charles 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.

Is Charles Hall affiliated with any hospitals?

According to CMS data, Charles Hall is affiliated with Ns/Lij Hs Southside Hospital, North Shore University Hospital, Long Island Jewish Medical Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Hall was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.