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DR. HERBERT E HALL III D.O.
NPI 1902802754
Family Medicine in Lees Summit, MO

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
258 NE TUDOR RD, LEES SUMMIT, MO 64086(816) 525-8086(816) 525-8089 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Herbert E Hall Iii D.o. NPPES

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

DR. HERBERT E HALL III D.O. (NPI 1902802754) is an individual family medicine provider in Lees Summit, Missouri, licensed in Missouri (113305) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1997).

NPPES Registry Identity

NPI1902802754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HERBERT E HALL IIICredential: D.O.
Location Address258 NE TUDOR RDLees Summit, MO 64086-5696
Mailing Address258 Ne Tudor RdLees Summit, MO 64086-5696 · (816) 525-8086 · Fax (816) 525-8089
Phone(816) 525-8086
Fax(816) 525-8089
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1997
Enumeration DateJune 27, 2005
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1902802754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 113305
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.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 13305 (MO)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 113305 (MO)
258 NE TUDOR RD, Lees Summit, MO 64086
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, 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

Dr. Herbert E Hall Iii D.o. 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 ID1052343597
PECOS Enrollment IDI20050906001050
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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
216 services27 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.
150 services40 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
41 services13 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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.

HERB HALL DO
Family Medicine
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 525-8086
DR. KATHERINE L KNAPP M.D.
Pediatrics
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 347-0303
TERESA MAE BRADY
Pediatrics
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 347-0303
PEDIATRIC PROFESSIONALS
Pediatrics
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 347-0303

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 Herbert Hall's NPI number?

The NPI number for Herbert Hall is 1902802754. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Herbert Hall located?

Herbert Hall practices at 258 NE Tudor Rd, Lees Summit, MO 64086. The listed phone number is (816) 525-8086.

What is Herbert Hall's specialty?

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

Is Herbert Hall enrolled in Medicare?

Yes. Herbert 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 Herbert Hall accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Herbert 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 Herbert Hall was last updated on October 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.