KELLY HALE MD
NPI 1467985648
Emergency Medicine in Newark, DE

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
87.62/100
CMS Quality Rating
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(817) 565-6027 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2023, Mar 10, 2023, Mar 1, 2023 and 3 more (6 updates tracked since 2019).

About Kelly Hale Md NPPES

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

KELLY HALE MD (NPI 1467985648) is an individual emergency medicine provider in Newark, Delaware, licensed in Kentucky (57135) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2017).

NPPES Registry Identity

NPI1467985648
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELLY HALECredential: MD
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200 · (302) 733-1000
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateMay 26, 20236 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1467985648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 57135 Licensed in KY · TP021 Licensed in DE · C7-0006532
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License C7-0006532 (DE)
4755 OGLETOWN STANTON RD, Newark, DE 19718

Other Names 1

Former Name (1)Kelly Ware Md

Other Identifiers 1

Medicaid7100849550KY

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

Kelly Hale 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 ID7810265600
PECOS Enrollment IDI20250116001781
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
142 services140 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services80 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services19 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

87.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost47.2

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.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

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 Kelly Hale's NPI number?

The NPI number for Kelly Hale is 1467985648. It was assigned to this individual provider in the NPPES registry on April 5, 2017. The provider is also known as Kelly Ware MD.

Where is Kelly Hale located?

Kelly Hale practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (817) 565-6027.

What is Kelly Hale's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Hale enrolled in Medicare?

Yes. Kelly Hale 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 Kelly Hale accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer list Kelly Hale 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 Kelly Hale affiliated with any hospitals?

According to CMS data, Kelly Hale is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Hale was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.