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DR. DAVID MICHAEL HALL M.D.
NPI 1598183535
Surgery in Huntingdon, TN

Active since April 06, 2014PECOS EnrolledAccepts Medicare Assignment
92.69/100
CMS Quality Rating
641 RB WILSON DR STE M, HUNTINGDON, TN 38344(731) 986-7330(731) 986-7083 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 4, 2024, Jul 8, 2019 (2 updates tracked since 2019).

About Dr. David Michael Hall M.d. NPPES

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

DR. DAVID MICHAEL HALL M.D. (NPI 1598183535) is an individual surgery provider in Huntingdon, Tennessee, licensed in Tennessee (59534) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital - Carroll County, and is a graduate of Northeastern Ohio University College Of Medicine (2014).

NPPES Registry Identity

NPI1598183535
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID MICHAEL HALLCredential: M.D.
Location Address641 RB WILSON DR STE MHuntingdon, TN 38344-1734
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (901) 227-4618
Phone(731) 986-7330
Fax(731) 986-7083
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2014
Enumeration DateApril 6, 2014
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1598183535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 59534
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
641 RB WILSON DR STE M, Huntingdon, TN 38344
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. David Michael 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 ID5597983775
PECOS Enrollment IDI20190816003205
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 8

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 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.
37 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38344 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

92.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

AMBER NICOLE BRADLEY FNP
Nurse Practitioner (Family)
641 RB WILSON DR STE M
HUNTINGDON, TN 38344
Carroll County (731) 986-7330

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 David Hall's NPI number?

The NPI number for David Hall is 1598183535. It was assigned to this individual provider in the NPPES registry on April 6, 2014.

Where is David Hall located?

David Hall practices at 641 Rb Wilson Dr Ste M, Huntingdon, TN 38344. The listed phone number is (731) 986-7330.

What is David Hall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Hall enrolled in Medicare?

Yes. David 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 David Hall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list David 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 David Hall affiliated with any hospitals?

According to CMS data, David Hall is affiliated with Baptist Memorial Hospital - Carroll County.

When was this NPI record last updated?

The NPPES record for David Hall was last updated on April 4, 2024. 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.