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DR. MICHAEL M HALL MD
NPI 1780688366
Family Medicine - Addiction Medicine in Du Bois, PA

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
92.35/100
CMS Quality Rating
145 HOSPITAL AVE, STE 104, DU BOIS, PA 15801(814) 375-8055(814) 375-8056 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2019, Aug 22, 2017, Jul 31, 2017 (3 updates tracked since 2017).

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

NPI1780688366
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. MICHAEL M HALLCredential: MD
Location Address145 HOSPITAL AVE, STE 104Du Bois, PA 15801-1463
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6560 · Fax (814) 372-2848
Phone(814) 375-8055
Fax(814) 375-8056
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1985
Enumeration DateJune 10, 2005
Last NPPES UpdateNovember 13, 20193 updates tracked since enumeration
✔ NPI 1780688366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in PA · MD036517E
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD036517E (PA)
145 HOSPITAL AVE, Du Bois, PA 15801
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1761 Johnsonburg Rd Ste 140Saint Marys, PA 15857-3480 · Phone (814) 375-8055 · Fax (814) 375-8056
Location 21900 River RdClearfield, PA 16830-6026 · Phone (814) 375-8055 · Fax (814) 375-8056
Location 3635 Maple AveDuBois, PA 15801-2376 · Phone (814) 375-8055 · Fax (814) 375-8056

Other Identifiers 3

Other852695FFUPA · Mc Ptan
Other591707Q09PA · Mc Ptan
Medicaid001132739PA

Accepted Insurance

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

PECOS PAC ID42392862
PECOS Enrollment IDI20080131000410
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.

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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

92.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
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.

GREGORY LOUIS CARPENTER PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
MELISSA MARIE HILLIARD PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801
Clearfield County (814) 375-4000
CURTIS MICHAEL GRENOBLE P.A.-C
Physician Assistant (Medical)
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
STEPHEN M. KRUK D.O.
Internal Medicine
145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801
Clearfield County (814) 371-1717
MARK A. PIASIO M.D.
Orthopaedic Surgery
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-9617
WOMENS CARE OF WESTERN PENNSYLVANIA LLC
Obstetrics & Gynecology
145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801
Clearfield County (814) 371-6172
DR. DANIEL S WOOLLEY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
145 HOSPITAL AVE, SUITE 206
DU BOIS, PA 15801
Clearfield County (814) 375-2040
DR. BRENT AARON BARNES DO
Internal Medicine (Cardiovascular Disease)
145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801
Clearfield County (814) 375-3722

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.

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.