EVAN JUSTIN HALE DO
NPI 1649739913
Family Medicine in Geneva, IL

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
300 RANDALL RD, GENEVA, IL 60134(630) 208-3000 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2019, Mar 17, 2019 (2 updates tracked since 2019).

About Evan Justin Hale Do NPPES

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

EVAN JUSTIN HALE DO (NPI 1649739913) is an individual family medicine provider in Geneva, Illinois, licensed in Illinois (125.074299) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1649739913
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEVAN JUSTIN HALECredential: DO
Location Address300 RANDALL RDGeneva, IL 60134-4200
Mailing Address300 Randall RdGeneva, IL 60134-4200 · (630) 208-3000
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2019
Enumeration DateMarch 17, 2019
Last NPPES UpdateJune 15, 20192 updates tracked since enumeration
NPI 1649739913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 125.074299
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.
300 RANDALL RD, Geneva, IL 60134

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

Evan Justin Hale Do 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 ID1052645173
PECOS Enrollment IDI20220722002111
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 6

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.
197 services114 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.
73 services52 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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
300 RANDALL RD
GENEVA, IL 60134
Emergency Medicine
300 RANDALL RD
GENEVA, IL 60134
Nurse Practitioner (Adult Health)
300 RANDALL RD, WOUND CENTER
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134
Physical Therapist
300 RANDALL RD
GENEVA, IL 60134
Nurse Anesthetist, Certified Registered
300 RANDALL RD
GENEVA, IL 60134
Pathology (Anatomic Pathology & Clinical Pathology)
300 RANDALL RD
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134

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 Evan Hale's NPI number?

The NPI number for Evan Hale is 1649739913. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Evan Hale located?

Evan Hale practices at 300 Randall Rd, Geneva, IL 60134. The listed phone number is (630) 208-3000.

What is Evan Hale's specialty?

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

Is Evan Hale enrolled in Medicare?

Yes. Evan 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.

Is Evan Hale affiliated with any hospitals?

According to CMS data, Evan Hale is affiliated with Northwestern Medicine Delnor Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Evan Hale was last updated on June 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.