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TIMOTHY JAMES HALL
NPI 1679313605
Nurse Practitioner - Family in Kettering, OH

Active since May 28, 2024PECOS EnrolledAccepts Medicare Assignment
1050 FORRER BLVD STE 250, KETTERING, OH 45420(800) 986-4801(937) 684-9990 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2025, Aug 19, 2024, Aug 13, 2024 (3 updates tracked since 2024).

About Timothy James Hall NPPES

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

TIMOTHY JAMES HALL (NPI 1679313605) is an individual family provider in Kettering, Ohio, licensed in Ohio (0037300) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679313605
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY JAMES HALL
Location Address1050 FORRER BLVD STE 250Kettering, OH 45420-3640
Mailing Address1050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · (800) 986-4801 · Fax (937) 684-9990
Phone(800) 986-4801
Fax(937) 684-9990
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 28, 2024
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1679313605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 0037300
1050 FORRER BLVD STE 250, Kettering, OH 45420
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy James Hall 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 ID6608300033
PECOS Enrollment IDI20241107003679
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mend Health LLC
Same address
Family
1050 FORRER BLVD
Kettering, OH 45420
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1760240527 (937) 299-1111
Premier Health Specialists Inc
1.4 mi
Plastic and Reconstructive Surgery
580 LINCOLN PARK BLVD, SUITE 300
Kettering, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1518283712 (937) 396-8001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.
22 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45420 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

JENNIFER ROTH APRN, FNP-C
Nurse Practitioner
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
ANPREET K RANDHAWA
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
SONIA SUEZETTE FIZET APRN
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
DORENE (DODIE) L JOHNSON CNP
Nurse Practitioner
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (009) 864-8018
CARMELITE RUSKOWSKI
Family Medicine (Adult Medicine)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
RACHEL MARIE KORTY NP
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801

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 Timothy Hall's NPI number?

The NPI number for Timothy Hall is 1679313605. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Timothy Hall located?

Timothy Hall practices at 1050 Forrer Blvd Ste 250, Kettering, OH 45420. The listed phone number is (800) 986-4801.

What is Timothy Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Hall enrolled in Medicare?

Yes. Timothy 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.

Which organizations bill Medicare for Timothy Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Hall reassigns Medicare benefits to 2 organizations: Mend Health LLC (Kettering, OH) and Premier Health Specialists Inc (Kettering, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Hall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Timothy 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 Timothy Hall affiliated with any hospitals?

According to CMS data, Timothy Hall is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Hall was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.