SIMON J HALL M.D.
NPI 1851394936
Specialist in New Hyde Park, NY

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
450 LAKEVILLE RD, SUITE M41, NEW HYDE PARK, NY 11042(516) 734-8577(516) 734-7054 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simon J Hall M.d. NPPES

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

SIMON J HALL M.D. (NPI 1851394936) is an individual specialist in New Hyde Park, New York, licensed in New York (178943) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1988).

NPPES Registry Identity

NPI1851394936
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSIMON J HALLCredential: M.D.
Location Address450 LAKEVILLE RD, SUITE M41New Hyde Park, NY 11042-1118
Mailing Address450 Lakeville Rd, Suite M41New Hyde Park, NY 11042-1118 · (516) 734-8577 · Fax (516) 734-7054
Fax(516) 734-7054
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1988
Enumeration DateMay 23, 2005
Last NPPES UpdateSeptember 10, 2015
NPI 1851394936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 178943
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
450 LAKEVILLE RD, New Hyde Park, NY 11042

Other Identifiers 2

Medicaid01710269NY
Medicare UPING41366NY

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

Simon J 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 ID2567555329
PECOS Enrollment IDI20070910000793
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 18

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 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.
599 services456 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
389 services316 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
211 services179 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
169 services127 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
108 services108 patients
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.
100 services96 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers36 claims3,210 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
8 suppliers44 claims9,120 services$1.35 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$6.18 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
8 suppliers67 claims224 services$9.23 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
6 suppliers14 claims56 services$5.39 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers33 claims990 services$3.35 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.

Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042

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 Simon Hall's NPI number?

The NPI number for Simon Hall is 1851394936. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Simon Hall located?

Simon Hall practices at 450 Lakeville Rd Suite M41, New Hyde Park, NY 11042. The listed phone number is (516) 734-8577.

What is Simon Hall's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Simon Hall enrolled in Medicare?

Yes. Simon 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.

Is Simon Hall affiliated with any hospitals?

According to CMS data, Simon Hall is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Simon Hall was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.