1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Family Medicine
  6. NPI Profile

DR. ROY PETER HALL M.D.
NPI 1861468696
Family Medicine in Houston, TX

Active since February 23, 2006PECOS Enrolled
2101 CRAWFORD ST STE 207, HOUSTON, TX 77002(281) 407-6683(832) 986-5640 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Aug 24, 2016 (2 updates tracked since 2016).

About Dr. Roy Peter Hall M.d. NPPES

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

DR. ROY PETER HALL M.D. (NPI 1861468696) is an individual family medicine provider in Houston, Texas, licensed in Texas (S0164) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861468696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROY PETER HALLCredential: M.D.
Location Address2101 CRAWFORD ST STE 207Houston, TX 77002-8941
Mailing Address2101 Crawford St Ste 207Houston, TX 77002-8941 · (281) 407-6683 · Fax (913) 660-0998
Phone(281) 407-6683
Fax(832) 986-5640
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1861468696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · S0164
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.
2101 CRAWFORD ST STE 207, Houston, TX 77002
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roy Peter Hall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Roy Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Medical Centers
317 mi
Federally Qualified Health Center (FQHC)
2525 N VETERANS BLVD
Eagle Pass, TX 78852
  • Reassigned Medicare billing, Texas enrollment
  • 76 clinicians in this Medicare group
NPI 1710980669 (830) 773-5358
Inpatient Consultants Of Kansas PA
635 mi
Internal Medicine
10901 GRANADA LN, 200
Overland Park, KS 66211
  • Reassigned Medicare billing, Kansas enrollment
  • 175 clinicians in this Medicare group
NPI 1548563737 (913) 660-1616

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77002 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
15%20 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

WORKERS COMP AND REHABILITATION CENTER PA
Physical Medicine & Rehabilitation (Pain Medicine)
2101 CRAWFORD ST STE 207
HOUSTON, TX 77002
Harris County (281) 407-6683
WORKERS COMP AND REHABILITATION CENTER PA
Family Medicine
2101 CRAWFORD ST STE 207
HOUSTON, TX 77002
Harris County (281) 407-6683
NEW HORIZON WORKMANS COMP HEALTHCARE
Physical Medicine & Rehabilitation (Pain Medicine)
2101 CRAWFORD ST STE 207
HOUSTON, TX 77002
Harris County (832) 974-1400
ALPHA/OMEGA CHIROPRACTIC & WELLNESS UTOPIA
Clinic/Center
2101 CRAWFORD ST STE 207
HOUSTON, TX 77002
Harris County (346) 444-5225

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 Roy Hall's NPI number?

The NPI number for Roy Hall is 1861468696. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Roy Hall located?

Roy Hall practices at 2101 Crawford St Ste 207, Houston, TX 77002. The listed phone number is (281) 407-6683.

What is Roy Hall's specialty?

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

Is Roy Hall enrolled in Medicare?

Yes. Roy Hall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roy Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Hall reassigns Medicare benefits to 2 organizations: United Medical Centers (Eagle Pass, TX) and Inpatient Consultants Of Kansas PA (Overland Park, KS). 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 Roy Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Hall accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Roy 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.

When was this NPI record last updated?

The NPPES record for Roy Hall was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.