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

DR. DEBRA KAREN HALL M.D.
NPI 1811034861
Family Medicine in Prestonsburg, KY

Q: What is Debra Hall's NPI number?

The NPI number for Debra Hall is 1811034861. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Debra Hall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Debra Hall was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment

86.86/100

CMS Quality Rating

723 S LAKE DR, PRESTONSBURG, KY 41653(606) 886-8175(606) 430-7014 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Mar 19, 2026, Sep 22, 2022 and 2 more (5 updates tracked since 2019).

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About Dr. Debra Karen Hall M.d. NPPES

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

DR. DEBRA KAREN HALL M.D. (NPI 1811034861) is an individual family medicine provider in Prestonsburg, Kentucky, licensed in Kentucky (32465) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1993).

NPPES Registry Identity

NPI1811034861

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DEBRA KAREN HALLCredential: M.D.

Location Address723 S LAKE DRPrestonsburg, KY 41653-1340

Mailing Address723 S Lake DrPrestonsburg, KY 41653-1340 · (606) 886-8175 · Fax (606) 430-7014

Phone(606) 886-8175

Fax(606) 430-7014

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1993

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1811034861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 32465

Definition

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.

723 S LAKE DR, Prestonsburg, KY 41653

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Other Identifiers 1

Medicaid64324650KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Debra Karen Hall M.d. 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 ID9537152061

PECOS Enrollment IDI20040408000273

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

338 services141 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.

153 services87 patients

Hospital Affiliations CMS Care Compare 5

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180005

Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County

Emergency services Birthing friendly

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Arh Our Lady Of The Way

Critical Access Hospitals · Martin, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181305

Location11203 Main StreetMartin, KY 41649 · Floyd County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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.

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.

86.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.39

Promoting Interoperability

100

Improvement Activities

Cost

70.65

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers23 claims52 services$5.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier24 claims24 services$18.46 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers11 claims11 services$13.01 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims13 services$41.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers56 claims56 services$108.54 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers20 claims20 services$189.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LILA LEIGH CRAIG APRN

Nurse Practitioner (Family)