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

KIMBERLY HALL
NPI 1851786495
Orthopaedic Surgery - Sports Medicine in Hillsboro, OR

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124(503) 844-8219(503) 844-8234 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2026, Dec 1, 2021 (2 updates tracked since 2021).

About Kimberly Hall NPPES

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

KIMBERLY HALL (NPI 1851786495) is an individual sports medicine provider in Hillsboro, Oregon, licensed in Oregon (MD206479) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1851786495
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameKIMBERLY HALL
Location Address1200 NE 48TH AVE STE 1100Hillsboro, OR 97124-5062
Mailing Address1200 Ne 48th Ave Ste 1100Hillsboro, OR 97124-5062 · (503) 844-8219 · Fax (503) 844-8234
Phone(503) 844-8219
Fax(503) 844-8234
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1851786495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OR · MD206479
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1200 NE 48TH AVE STE 1100, Hillsboro, OR 97124
Open in Google Maps ↗

Secondary Practice Location 1

Location 12875 NE Stucki AveHillsboro, OR 97124-5806 · Phone (971) 310-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Kimberly Hall 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 ID8224435136
PECOS Enrollment IDI20210920002979
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 Reassignment

Medicare enrollment records show Kimberly Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuality Medical Group LLC
2.4 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000

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 7

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.
57 services38 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
38 services26 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.
26 services18 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.
21 services21 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.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington 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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DR. THOMAS DEREK KOWALIK M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8219
EVAN KLEIN PA-C
Physician Assistant (Surgical)
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8219
MR. KENYON JAY SOLECKI MS, PA-C
Physician Assistant
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8219
KIEU HERNANDEZ AGACNP-BC
Nurse Practitioner
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 494-6400
JULIE ANN ADAMS PA-C
Physician Assistant
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8219
DR. DANIEL RAYMOND ALBRECHT MD
Physical Medicine & Rehabilitation
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8310
TUALITY HEALTHCARE
Clinic/Center
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8310
MARA ANDERSON PA-C
Physician Assistant
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 97124
Washington County (503) 844-8219

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 Kimberly Hall's NPI number?

The NPI number for Kimberly Hall is 1851786495. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Kimberly Hall located?

Kimberly Hall practices at 1200 NE 48th Ave Ste 1100, Hillsboro, OR 97124. The listed phone number is (503) 844-8219.

What is Kimberly Hall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Kimberly Hall enrolled in Medicare?

Yes. Kimberly 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.

Which organization bills Medicare for Kimberly Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hall reassigns Medicare benefits to Tuality Medical Group LLC (Hillsboro, OR). The 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 Kimberly Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hall accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kimberly 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.

Is Kimberly Hall affiliated with any hospitals?

According to CMS data, Kimberly Hall is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Hall was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.