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WINTHROP H HALL JR. MD
NPI 1871662437
Otolaryngology in Novato, CA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
165 ROWLAND WAY, SUITE 202, NOVATO, CA 94945(415) 897-3070(415) 897-5485 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Winthrop H Hall Jr. Md NPPES

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

WINTHROP H HALL JR. MD (NPI 1871662437) is an individual otolaryngology provider in Novato, California, licensed in California (C25895) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1962).

NPPES Registry Identity

NPI1871662437
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameWINTHROP H HALL JR.Credential: MD
Location Address165 ROWLAND WAY, SUITE 202Novato, CA 94945-5055
Mailing Address165 Rowland Way, Suite 202Novato, CA 94945-5055 · (415) 897-3070 · Fax (415) 897-5485
Phone(415) 897-3070
Fax(415) 897-5485
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1962
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 18, 2011
✔ NPI 1871662437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · C25895
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
165 ROWLAND WAY, Novato, CA 94945
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Other Identifiers 5

Medicare UPINAU974CA
Medicare ID-Type Unspecified00C258950
Medicaid00C258950CA
Other680420554Tin
Medicare UPIND38206

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

Winthrop H Hall Jr. 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 ID6103986559
PECOS Enrollment IDI20081115000093
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 5

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
694 services362 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.
681 services339 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.
68 services51 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.
57 services57 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

OLE CHRISTIAN BORGESEN PT
Physical Therapist (Orthopedic)
165 ROWLAND WAY, SUITE 101
NOVATO, CA 94945
Marin County (415) 898-1311
MS. LISA DIAN PARADISO MPT
Physical Therapist (Orthopedic)
165 ROWLAND WAY, SUITE 101
NOVATO, CA 94945
Marin County (415) 898-1311
VALERIE C RIDGEWAY FNP
Nurse Practitioner (Family)
165 ROWLAND WAY, SUITE 311
NOVATO, CA 94945
Marin County (415) 897-9664
NOVATO BACK CARE AND SPORTS PHYSICAL THERAPY
Physical Therapist (Orthopedic)
165 ROWLAND WAY, SUITE 101
NOVATO, CA 94945
Marin County (415) 898-1311
CRISTIE BENNETT P.T.
Physical Medicine & Rehabilitation
165 ROWLAND WAY, STE. 101
NOVATO, CA 94945
Marin County (415) 898-1311
JENNIFER SHAW-CHIN LIU FNP
Nurse Practitioner (Family)
165 ROWLAND WAY, SUITE 215
NOVATO, CA 94945
Marin County (415) 897-5171
DR. MICHAEL KAM-HONG KWOK M.D.
Internal Medicine
165 ROWLAND WAY, SUITE 201
NOVATO, CA 94945
Marin County (415) 897-3174
MARIN COSMETIC SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
165 ROWLAND WAY, # 302
NOVATO, CA 94945
Marin County (415) 898-4361

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 Winthrop Hall's NPI number?

The NPI number for Winthrop Hall is 1871662437. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Winthrop Hall located?

Winthrop Hall practices at 165 Rowland Way Suite 202, Novato, CA 94945. The listed phone number is (415) 897-3070.

What is Winthrop Hall's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Winthrop Hall enrolled in Medicare?

Yes. Winthrop 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.

When was this NPI record last updated?

The NPPES record for Winthrop Hall was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.