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

DR. DARIN L. HALE MD
NPI 1760671655
Emergency Medicine in Monticello, KY

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment
166 HOSPITAL ST, MONTICELLO, KY 42633(606) 348-9343(865) 985-7077 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2023, Oct 26, 2023, Sep 28, 2020 (3 updates tracked since 2020).

About Dr. Darin L. Hale Md NPPES

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

DR. DARIN L. HALE MD (NPI 1760671655) is an individual emergency medicine provider in Monticello, Kentucky, licensed in Kentucky (41443) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1760671655
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DARIN L. HALECredential: MD
Location Address166 HOSPITAL STMonticello, KY 42633-2416
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984 · (865) 985-7234 · Fax (865) 985-7077
Fax(865) 985-7077
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 17, 2007
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
NPI 1760671655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 41443 Licensed in TN · 42724
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 ListedFamily MedicineTaxonomy 207Q00000X · License 42724 (TN)
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 42724 (TN)
166 HOSPITAL ST, Monticello, KY 42633

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

Dr. Darin L. 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 ID648350512
PECOS Enrollment IDI20080104000068, I20120209000635
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.
160 services159 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.
148 services142 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.
21 services20 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440081
Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42633 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

Radiology (Diagnostic Radiology)
166 HOSPITAL ST
MONTICELLO, KY 42633
Nurse Practitioner (Family)
166 HOSPITAL ST
MONTICELLO, KY 42633
Nurse Practitioner (Family)
166 HOSPITAL ST
MONTICELLO, KY 42633
Family Medicine
166 HOSPITAL ST
MONTICELLO, KY 42633
Dietitian, Registered
166 HOSPITAL ST
MONTICELLO, KY 42633
Emergency Medicine
166 HOSPITAL ST
MONTICELLO, KY 42633
Nurse Practitioner (Family)
166 HOSPITAL ST
MONTICELLO, KY 42633
Nurse Practitioner (Family)
166 HOSPITAL ST
MONTICELLO, KY 42633

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 Darin Hale's NPI number?

The NPI number for Darin Hale is 1760671655. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Darin Hale located?

Darin Hale practices at 166 Hospital St, Monticello, KY 42633. The listed phone number is (606) 348-9343.

What is Darin Hale's specialty?

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

Is Darin Hale enrolled in Medicare?

Yes. Darin 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 Darin Hale 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 Darin 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 Darin Hale affiliated with any hospitals?

According to CMS data, Darin Hale is affiliated with Cumberland Medical Center, Morristown Hamblen Hospital Association, Leconte Medical Center and Fort Loudoun Medical Center.

When was this NPI record last updated?

The NPPES record for Darin Hale was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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.