DR. MICHAEL D HALL M.D.
NPI 1871693077
Surgery in Charleston, WV

Active since September 25, 2006PECOS Enrolled
90.11/100
CMS Quality Rating
1201 WASHINGTON ST E, SUITE 208, CHARLESTON, WV 25301(304) 388-7270(304) 388-7280 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2022, Jan 7, 2021 (2 updates tracked since 2021).

About Dr. Michael D Hall M.d. NPPES

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

DR. MICHAEL D HALL M.D. (NPI 1871693077) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (13944) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871693077
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL D HALLCredential: M.D.
Location Address1201 WASHINGTON ST E, SUITE 208Charleston, WV 25301-1834
Mailing AddressPo Box 7000Morgantown, WV 26507-7000 · (304) 347-1290 · Fax (304) 347-1397
Fax(304) 388-7280
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1871693077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in WV · 13944 Licensed in KY · TP100
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1201 WASHINGTON ST E, Charleston, WV 25301

Other Identifiers 1

Medicaid0124498000WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael D 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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Clinical Medical Laboratory
1201 WASHINGTON ST E, SUITE 100
CHARLESTON, WV 25301
Family Medicine
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Nurse Anesthetist, Certified Registered
1201 WASHINGTON ST E
CHARLESTON, WV 25301
Urology
1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301
Clinical Medical Laboratory
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Surgery (Vascular Surgery)
1201 WASHINGTON ST E
CHARLESTON, WV 25301
Family Medicine
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Urology
1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301

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 Michael Hall's NPI number?

The NPI number for Michael Hall is 1871693077. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Michael Hall located?

Michael Hall practices at 1201 Washington St E Suite 208, Charleston, WV 25301. The listed phone number is (304) 388-7270.

What is Michael Hall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Hall enrolled in Medicare?

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

What insurance does Michael Hall accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael 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 Michael Hall was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.