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ABIGAIL HALLERON
NPI 1912430612
Emergency Medicine in Shelbyville, KY

Active since April 10, 2017PECOS Enrolled
727 HOSPITAL DR, SHELBYVILLE, KY 40065(502) 647-4170 Get Directions Write a Review

NPPES record last updated: March 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2023, Feb 19, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Abigail Halleron NPPES

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

ABIGAIL HALLERON (NPI 1912430612) is an individual emergency medicine provider in Shelbyville, Kentucky, licensed in Kentucky (55604) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912430612
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameABIGAIL HALLERON
Location Address727 HOSPITAL DRShelbyville, KY 40065-1660
Mailing Address727 Hospital DrShelbyville, KY 40065-1660 · (502) 647-4170 · Fax (502) 633-2501
Phone(502) 647-4170
Sole ProprietorNo
Enumeration DateApril 10, 2017
Last NPPES UpdateMarch 18, 20233 updates tracked since enumeration
NPPES CertifiedMarch 18, 2023
✔ NPI 1912430612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in KY · 55604✔ Licensed in MO · 2020032474
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
727 HOSPITAL DR, Shelbyville, KY 40065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Halleron 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

4

Medicare enrollment records show Abigail Halleron reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Emergency Physicians LLC
83 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Paragon Contracting Services LLC
336 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Relias Emergency Medicine Specialists Of Northport, LLC
367 mi
Emergency Medicine
2700 HOSPITAL DR
Northport, AL 35476
  • Reassigned Medicare billing, Alabama enrollment
  • 118 clinicians in this Medicare group
NPI 1699261149 (662) 432-4106
Relias Emergency Medicine Specialists Of Regional, LLC
368 mi
Emergency Medicine
809 UNIVERSITY BLVD E
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 124 clinicians in this Medicare group
NPI 1619463163 (662) 432-4106

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
108 services107 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services64 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

WILLIAM D SMITH JR. CRNA
Nurse Anesthetist, Certified Registered
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4085
MR. JOHN W. BURCKLE P.A.-C.
Physician Assistant
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 367-3360
HENRY EDWARD MOELLER M.D.
Anesthesiology
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4085
BOHDAN SEMAK DO
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4000
FAIYAD YASEER MANNAN MD
Internal Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 367-3360
UOFL HEALTH-SHELBYVILLE INC
Clinical Medical Laboratory
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4000
DR. RAY C KENNEDY MD
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4347
DR. YOLANDA SHIELDS MD
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4347

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 Abigail Halleron's NPI number?

The NPI number for Abigail Halleron is 1912430612. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Abigail Halleron located?

Abigail Halleron practices at 727 Hospital Dr, Shelbyville, KY 40065. The listed phone number is (502) 647-4170.

What is Abigail Halleron's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Abigail Halleron enrolled in Medicare?

Yes. Abigail Halleron is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abigail Halleron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Halleron reassigns Medicare benefits to 4 organizations: Southeastern Emergency Physicians LLC (Maysville, KY), Paragon Contracting Services LLC (Birmingham, AL), Relias Emergency Medicine Specialists Of Northport, LLC (Northport, AL) and Relias Emergency Medicine Specialists Of Regional, LLC (Tuscaloosa, AL). 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 Abigail Halleron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abigail Halleron accept?

Health plans from Blue Cross and Blue Shield of Alabama list Abigail Halleron 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 Abigail Halleron was last updated on March 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.