HUGH HALL JR. M.D.
NPI 1457533846
Family Medicine in Bardstown, KY

Active since November 28, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0867828 · Waiver
23.95/100
CMS Quality Rating
703 MCDOWELL BLVD, SUITE 100, BARDSTOWN, KY 40004(502) 349-1212(502) 349-1216 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hugh Hall Jr. M.d. NPPES

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

HUGH HALL JR. M.D. (NPI 1457533846) is an individual family medicine provider in Bardstown, Kentucky, licensed in Kentucky (26930) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Baptist Health Hardin.

NPPES Registry Identity

NPI1457533846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHUGH HALL JR.Credential: M.D.
Location Address703 MCDOWELL BLVD, SUITE 100Bardstown, KY 40004-2651
Mailing Address703 Mcdowell Blvd, Suite 100Bardstown, KY 40004-2651 · (502) 349-1212 · Fax (502) 349-1216
Fax(502) 349-1216
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1986
Enumeration DateNovember 28, 2007
Last NPPES UpdateJanuary 11, 2013
NPI 1457533846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 26930 Licensed in OH · 35.056242
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.
703 MCDOWELL BLVD, Bardstown, KY 40004

Other Identifiers 12

Other125580KY · Siho- Ncma
Medicare PIN1865901KY
Other1055781KY · Passport
OtherP01003558KY · Mcr Railroad- Ncma
Other000000050161KY · Anthem
Other000000711250KY · Anthem- Ncma
Other000057120CKY · Humana- Cma
Other50033018KY · Passport- Ncma
Medicaid64269301KY
OtherE14151KY · Upin
Medicaid201059710IN
Medicare PINK013310KY

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

Hugh Hall Jr. 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 ID4183769383
PECOS Enrollment IDI20100226000181
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0867828

Hugh Hall, Psc · Bardstown, KY
Active · expires Aug 31, 2026
CLIA Number18D0867828
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Hugh Hall
Laboratory Phone(502) 349-1212
Laboratory LocationHugh Hall, Psc703 Mcdowell Boulevard Suite 100, Bardstown, KY 40004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
693 services231 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.
419 services166 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
120 services13 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
98 services12 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services27 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Chi Saint Joseph Health -Flaget Memorial Hospital

Acute Care Hospitals · Bardstown, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180025
Location4305 New Shepherdsville RoadBardstown, KY 40004 · Nelson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40004 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

23.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost79.84

Referred Medical Equipment & Supplies CMS DME claims 25

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
6 suppliers32 claims78 services$5.45 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers17 claims17 services$33.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier18 claims35 services$1.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers22 claims22 services$70.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers21 claims62 services$27.11 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers11 claims66 services$14.29 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.

Durable Medical Equipment & Medical Supplies
703 MCDOWELL BLVD, STE. 100A
BARDSTOWN, KY 40004
Family Medicine
703 MCDOWELL BLVD, SUITE 100
BARDSTOWN, KY 40004

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 Hugh Hall's NPI number?

The NPI number for Hugh Hall is 1457533846. It was assigned to this individual provider in the NPPES registry on November 28, 2007.

Where is Hugh Hall located?

Hugh Hall practices at 703 Mcdowell Blvd Suite 100, Bardstown, KY 40004. The listed phone number is (502) 349-1212.

What is Hugh Hall's specialty?

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

Is Hugh Hall enrolled in Medicare?

Yes. Hugh 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.

Does Hugh Hall hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0867828) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hugh Hall affiliated with any hospitals?

According to CMS data, Hugh Hall is affiliated with Baptist Health Hardin, Chi Saint Joseph Health -Flaget Memorial Hospital and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Hugh Hall was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.