DR. MICHAEL M HALL MD
NPI 1780688366
Family Medicine - Addiction Medicine in Du Bois, PA
About Dr. Michael M Hall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL M HALL MD (NPI 1780688366) is an individual addiction medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD036517E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of State University Of Ny Upstate Medical University (1985).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 3
Accepted 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
Dr. Michael M Hall 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.
Medicare Billing Reassignments
6Medicare enrollment records show Michael Hall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brookville, PA 15825
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1568400026 (Pennsylvania)
- 34 clinicians in this Medicare group
Houtzdale, PA 16651
- Reassigned Medicare billing, Pennsylvania enrollment
- 9 clinicians in this Medicare group
Philipsburg, PA 16866
- Reassigned Medicare billing, Pennsylvania enrollment
- 49 clinicians in this Medicare group
Philipsburg, PA 16866
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Emporium, PA 15834
- Reassigned Medicare billing, Pennsylvania enrollment
- 23 clinicians in this Medicare group
Everett, PA 15537
- Reassigned Medicare billing, Pennsylvania enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DU BOIS, PA 15801
DU BOIS, PA 15801
DU BOIS, PA 15801
DUBOIS, PA 15801
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 Michael Hall's NPI number?
The NPI number for Michael Hall is 1780688366. It was assigned to this individual provider in the NPPES registry on June 10, 2005.
Where is Michael Hall located?
Michael Hall practices at 145 Hospital Ave Ste 104, Du Bois, PA 15801. The listed phone number is (814) 375-8055.
What is Michael Hall's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Michael Hall enrolled in Medicare?
Yes. Michael 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 Michael Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hall reassigns Medicare benefits to 6 organizations: Brookville Hospital (Brookville, PA), Tyrone Hospital (Houtzdale, PA), Cen Clear Child Services, Inc. (Philipsburg, PA), Caring Healthcare Network (Philipsburg, PA), Elk Regional Health Center (Emporium, PA) and 1 more organization, listed in the Medicare section above. 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 Michael Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Hall accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael 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.
When was this NPI record last updated?
The NPPES record for Michael Hall was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Michael M Hall, MD · NPI 1780688366
Addiction Medicine physician in Du Bois, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 10, 2005.
## Identity
- **NPI:** 1780688366 (Entity type: Individual)
- **Enumerated:** June 10, 2005
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **State license:** MD036517E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 HOSPITAL AVE, STE 104, Du Bois, PA 15801-1463
- **Phone:** (814) 375-8055 · **Fax:** (814) 375-8056
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Brookville Hospital (NPI 1578733093, Brookville, PA); Tyrone Hospital (NPI 1124456157, Houtzdale, PA); Cen Clear Child Services, Inc. (NPI 1841289733, Philipsburg, PA); Caring Healthcare Network (NPI 1417260266, Philipsburg, PA); Elk Regional Health Center (NPI 1952554602, Emporium, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 1985
## Record status
- **NPPES last updated:** November 13, 2019
- **Other identifiers:** Other 852695FFU (PA); Other 591707Q09 (PA); Medicaid 001132739 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780688366) · Data from the CMS NPPES public registry.