DR. D ERIC HALL DO NPI 1780671347
Family Medicine in Meridian, ID
About D HALL
D Hall is a primary care provider established in Meridian, Idaho and his medical specialization is family medicine with more than 19 years of experience. He graduated from R Franklin University Of Med & Sci/chicago Medical School in 2003. The NPI number of D Hall is 1780671347 and was assigned on September 2005. The practitioner's primary taxonomy code is 207Q00000X with license number O0495 (ID). The provider is registered as an individual and his NPI record was last updated 8 years ago.
A primary care provider (PCP) like Dr. D Eric Hall Do sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
D Hall is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
D Hall is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and Saint Alphonsus Regional Medical Center.
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.84 for a new patient copayment and $24.21 for an established patient copayment.
| NPI | 1780671347 |
| Provider Name | DR. D ERIC HALL DO |
| Provider Location Address | 3090 E GENTRY WAY SUITE 200 MERIDIAN, ID 83642 |
| Provider Mailing Address | 190 E BANNOCK ST BOISE, ID 83712 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-29-2005 |
| Last Update Date | 01-23-2014 |
Primary Taxonomy
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | O0495 |
| License State | ID |
| Taxonomy Description | 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. |
Business Address
DR. D ERIC HALL DO
3090 E GENTRY WAY
SUITE 200
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-6813
Fax: (208) 887-6884
Mailing Address
DR. D ERIC HALL DO
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 887-6813
Fax: (208) 887-6884
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9234108671 |
| PECOS Enrollment ID | I20080813000033 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 83642 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $53.93 | $165.44 | $83.36 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.48 | $41.36 | $20.84 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.64 | $135.44 | $96.84 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.16 | $33.86 | $24.21 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. D Hall is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| ST LUKE'S REGIONAL MEDICAL CENTER | 190 EAST BANNOCK STREET BOISE, ID 83712 | (208) 381-2222 | Acute Care Hospitals | 130006 | |
| ST LUKE'S NAMPA MEDICAL CENTER | 9850 W ST LUKES DRIVE STE 250 NAMPA, ID 83687 | (208) 505-2000 | Acute Care Hospitals | 130071 | |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | 1055 NORTH CURTIS ROAD BOISE, ID 83706 | (208) 367-2121 | Acute Care Hospitals | 130007 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 20000423 | MEDICARE PIN (08) | ID |
Other Providers at the same location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649220385 | ST LUKES FAMILY HEALTH, LLC Organization | Family Medicine | 3090 E GENTRY WAY SUITE 200 MERIDIAN, ID 83642 (208) 887-4606 |
| 1740232529 | WILLIAM L CRUMP III MD Individual | Family Medicine | 3090 E GENTRY WAY STE 200 MERIDIAN, ID 83642 (208) 887-6813 |
| 1447286125 | TRISTAN THORNE DPT Individual | Physical Therapist | 3090 E GENTRY WAY STE 250 MERIDIAN, ID 83642 (208) 888-0044 |
| 1114094737 | GLEN RONALD BAILEY MPT Individual | Physical Therapist | 3090 E GENTRY WAY STE 250 MERIDIAN, ID 83642 (208) 888-0044 |
| 1306149919 | ST LUKE'S REGIONAL MEDICAL CENTER Organization | Family Medicine | 3090 E GENTRY WAY STE 200 MERIDIAN, ID 83642 (208) 887-6813 |
| 1205887288 | DR. BRENDA J ADAMS MD Individual | Family Medicine | 3090 E GENTRY WAY SUITE 200 MERIDIAN, ID 83642 (208) 887-6813 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.