Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GORDY SAMUEL HALL MD
NPI 1598762296
Family Medicine in San Antonio, TX

Q: What is Gordy Hall's NPI number?

The NPI number for Gordy Hall is 1598762296. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Gordy Hall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gordy Hall was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.

Active since July 07, 2005PECOS Enrolled

430 W SUNSET RD STE 201, SAN ANTONIO, TX 78209(210) 824-4584(210) 805-8466 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 19, 2026, Mar 30, 2020, Oct 17, 2016 (3 updates tracked since 2016).

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About Gordy Samuel Hall Md NPPES

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

GORDY SAMUEL HALL MD (NPI 1598762296) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (G5140) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598762296

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGORDY SAMUEL HALLCredential: MD

Location Address430 W SUNSET RD STE 201San Antonio, TX 78209-1772

Mailing Address430 W Sunset Rd Ste 201San Antonio, TX 78209-1772 · (210) 824-4584 · Fax (210) 805-8466

Phone(210) 824-4584

Fax(210) 805-8466

Sole ProprietorNo

Enumeration DateJuly 7, 2005

Last NPPES UpdateJuly 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2020

✔ NPI 1598762296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · G5140

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.

430 W SUNSET RD STE 201, San Antonio, TX 78209

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Other Identifiers 2

Other124491505TX · Wellmed Medicaid

Other8A4638TX · Wellmed Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gordy Samuel Hall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

SHAMSA SALEEM MD

Family Medicine