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MARSHALL CRAIG HALL MD
NPI 1881676484
Urology in Rockport, ME

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
3 GLEN COVE DR STE 3, ROCKPORT, ME 04856(207) 301-5400 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marshall Craig Hall Md NPPES

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

MARSHALL CRAIG HALL MD (NPI 1881676484) is an individual urology provider in Rockport, Maine, licensed in North Carolina (9801292) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1881676484
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMARSHALL CRAIG HALLCredential: MD
Location Address3 GLEN COVE DR STE 3Rockport, ME 04856-4232
Mailing Address1100 Kensington DrHigh Point, NC 27262-4503 · (336) 978-8422
Phone(207) 301-5400
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1987
Enumeration DateNovember 18, 2005
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1881676484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NC · 9801292✔ Licensed in ME · MD25171
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3 GLEN COVE DR STE 3, Rockport, ME 04856
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Secondary Practice Location 1

Location 12630 Willard Dairy Rd Ste 303High Point, NC 27265-8354 · Phone (336) 884-3742 · Fax (336) 884-3743

Other Identifiers 2

Medicaid891161FNC
OtherP00325648NC · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

Marshall Craig Hall 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 ID1456367358
PECOS Enrollment IDI20060302000097
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.

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.
30 services30 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.
26 services22 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.
21 services15 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.
18 services16 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

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,690 services$1.29 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers15 claims190 services$6.84 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier14 claims160 services$5.24 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
2 suppliers32 claims440 services$3.29 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 4

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

ELIZABETH A THOMPSON PA-C
Physician Assistant (Surgical)
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
ROBERT DAVID FISHER MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
LARS M ELLISON MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400
DR. LINDSEY ARDEN KERR MD
Urology
3 GLEN COVE DR STE 3
ROCKPORT, ME 04856
Knox County (207) 301-5400

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 Marshall Hall's NPI number?

The NPI number for Marshall Hall is 1881676484. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Marshall Hall located?

Marshall Hall practices at 3 Glen Cove Dr Ste 3, Rockport, ME 04856. The listed phone number is (207) 301-5400.

What is Marshall Hall's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marshall Hall enrolled in Medicare?

Yes. Marshall 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.

What insurance does Marshall Hall accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Marshall 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 Marshall Hall affiliated with any hospitals?

According to CMS data, Marshall Hall is affiliated with Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Marshall Hall was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.