TIMOTHY K HALE M.D.
NPI 1811955628
Obstetrics & Gynecology in Concord, MA

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
131 ORNAC SUITE 430, KRAMER OB GYN EMERSON HOSPITAL, CONCORD, MA 01742(978) 371-0050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy K Hale M.d. NPPES

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

TIMOTHY K HALE M.D. (NPI 1811955628) is an individual obstetrics & gynecology provider in Concord, Massachusetts, licensed in Massachusetts (226317) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2001).

NPPES Registry Identity

NPI1811955628
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTIMOTHY K HALECredential: M.D.
Location Address131 ORNAC SUITE 430, KRAMER OB GYN EMERSON HOSPITALConcord, MA 01742
Mailing Address131 Ornac, Jcb, Suite 430Concord, MA 01742-2832 · (978) 371-0050
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2001
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1811955628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 226317
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
131 ORNAC SUITE 430, Concord, MA 01742

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

Timothy K Hale 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 ID840214995
PECOS Enrollment IDI20060117000601
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Hale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
Family Medicine
123 SUMMER ST STE 279
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 197 clinicians in this Medicare group
Obstetrics
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Obhg Massachusetts - Direct PC
  • 100 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.

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
17 services17 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.
17 services11 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Timothy Hale's NPI number?

The NPI number for Timothy Hale is 1811955628. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Timothy Hale located?

Timothy Hale practices at 131 Ornac Suite 430 Kramer Ob Gyn Emerson Hospital, Concord, MA 01742. The listed phone number is (978) 371-0050.

What is Timothy Hale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Hale enrolled in Medicare?

Yes. Timothy 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.

Which organizations bill Medicare for Timothy Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Hale reassigns Medicare benefits to 3 organizations: Reliant Medical Group, Inc (Worcester, MA), Saint Vincent Physician Services, Inc. (Worcester, MA) and Obhg Massachusetts - Direct, P.C. (Brockton, MA). 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 Timothy Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Hale accept?

Health plans from Anthem Blue Cross and Blue Shield list Timothy 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 Timothy Hale affiliated with any hospitals?

According to CMS data, Timothy Hale is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Hale was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.