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LUKE TYLER HALL M.D.
NPI 1417150376
Family Medicine in Eldorado, IL

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1407 LOCUST ST, ELDORADO, IL 62930(618) 273-3361 Get Directions Write a Review

NPPES record last updated: July 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Luke Tyler Hall M.d. NPPES

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

LUKE TYLER HALL M.D. (NPI 1417150376) is an individual family medicine provider in Eldorado, Illinois, licensed in Illinois (036128470) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1417150376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUKE TYLER HALLCredential: M.D.
Location Address1407 LOCUST STEldorado, IL 62930
Mailing Address1201 Pine StEldorado, IL 62930-1634 · (314) 531-6351
Phone(618) 273-3361
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2007
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 8, 20182 updates tracked since enumeration
✔ NPI 1417150376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036128470
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1407 LOCUST ST, Eldorado, IL 62930
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Other Identifiers 1

Medicaid036128470IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Luke Tyler 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 ID8224202817
PECOS Enrollment IDI20111116000669, I20180328000422
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 Reassignment

Medicare enrollment records show Luke Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ferrell Hospital Community Foundation
0.2 mi
Critical Access
1201 PINE STREET
Eldorado, IL 62930
  • Reassigned Medicare billing, Illinois enrollment
  • 74 clinicians in this Medicare group
NPI 1194713404 (618) 273-3361

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 5

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.

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.
55 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services49 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
46 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
29 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims20 services$5.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$119.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims43 services$2.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$71.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers59 claims59 services$20.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier33 claims33 services$7.51 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 2

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

SUSAN E SIGLER FNP
Nurse Practitioner (Family)
1407 LOCUST ST
ELDORADO, IL 62930
Saline County (618) 273-3361
FERRELL HOSPITAL COMMUNITY FOUNDATION
Physician Assistant
1407 LOCUST ST
ELDORADO, IL 62930
Saline County (618) 273-3361

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 Luke Hall's NPI number?

The NPI number for Luke Hall is 1417150376. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Luke Hall located?

Luke Hall practices at 1407 Locust St, Eldorado, IL 62930. The listed phone number is (618) 273-3361.

What is Luke Hall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luke Hall enrolled in Medicare?

Yes. Luke 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 organization bills Medicare for Luke Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Hall reassigns Medicare benefits to Ferrell Hospital Community Foundation (Eldorado, IL). The 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 Luke Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Hall accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Luke 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 Luke Hall affiliated with any hospitals?

According to CMS data, Luke Hall is affiliated with Heartland Regional Medical Center, Ferrell Hospital Community Foundations, Hamilton Memorial Hospital and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Luke Hall was last updated on July 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.