MONICA SUSAN HALL-ROBERTSON MD
NPI 1841296225
Family Medicine in Lexington, KY

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
1760 NICHOLASVILLE RD, SUITE 202, LEXINGTON, KY 40503(859) 277-5711 Get Directions Write a Review

NPPES record last updated: March 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2019, Nov 9, 2018, Jan 20, 2017 (3 updates tracked since 2017).

About Monica Susan Hall-robertson Md NPPES

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

MONICA SUSAN HALL-ROBERTSON MD (NPI 1841296225) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (35815) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1999).

NPPES Registry Identity

NPI1841296225
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONICA SUSAN HALL-ROBERTSONCredential: MD
Location Address1760 NICHOLASVILLE RD, SUITE 202Lexington, KY 40503-1471
Mailing Address1760 Nicholasville Rd, Suite 202Lexington, KY 40503-1471 · (859) 277-5711
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1999
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 5, 20193 updates tracked since enumeration
NPI 1841296225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 35815
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.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 35815 (KY)
Also ListedSurgeryTaxonomy 208600000X · License 35815 (KY)
1760 NICHOLASVILLE RD, Lexington, KY 40503

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

Monica Susan Hall-robertson 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 ID5496745101
PECOS Enrollment IDI20040514000714
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 13

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.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
124,430 services441 patients
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
87,225 services427 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
30,100 services102 patients
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
5,504 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
3,037 services460 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
3,007 services460 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.24
Promoting Interoperability100
Improvement Activities40
Cost44.44

Referred Medical Equipment & Supplies CMS DME claims 12

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims512 services$20.41 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier208 claims7,501 services$7.12 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims379 services$16.06 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199
DME-Medical/Surgical Supplies · category DA023N
1 supplier20 claims834 services$5.14 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier37 claims498 services$9.37 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier208 claims7,640 services$0.91 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
1760 NICHOLASVILLE RD, SUITE 406
LEXINGTON, KY 40503
Anesthesiology (Pain Medicine)
1760 NICHOLASVILLE RD, STE 301
LEXINGTON, KY 40503
Neurological Surgery
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Radiology (Diagnostic Radiology)
1760 NICHOLASVILLE RD, SUITE 401
LEXINGTON, KY 40503
Orthopaedic Surgery
1760 NICHOLASVILLE RD, SUITE 604
LEXINGTON, KY 40503
Urology
1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503
Physician Assistant (Medical)
1760 NICHOLASVILLE RD, STE 603
LEXINGTON, KY 40503
Surgery
1760 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503

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 Monica Hall-robertson's NPI number?

The NPI number for Monica Hall-robertson is 1841296225. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Monica Hall-robertson located?

Monica Hall-robertson practices at 1760 Nicholasville Rd Suite 202, Lexington, KY 40503. The listed phone number is (859) 277-5711.

What is Monica Hall-robertson's specialty?

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

Is Monica Hall-robertson enrolled in Medicare?

Yes. Monica Hall-robertson 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.

When was this NPI record last updated?

The NPPES record for Monica Hall-robertson was last updated on March 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.