JAMES DAVID HALL M.D.
NPI 1972693018
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Weston, WI
About James David Hall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES DAVID HALL M.D. (NPI 1972693018) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Weston, Wisconsin, licensed in Wisconsin (56151-20) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
James David Hall M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show James Hall reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Dubuque, IA 52002
- Reassigned Medicare billing, Iowa enrollment
- 272 clinicians in this Medicare group
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 698 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Dubuque Medical Center
Acute Care Hospitals · Dubuque, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
WESTON, WI 54476
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 James Hall's NPI number?
The NPI number for James Hall is 1972693018. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is James Hall located?
James Hall practices at 3301 Cranberry Blvd, Weston, WI 54476. The listed phone number is (715) 393-3900.
What is James Hall's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is James Hall enrolled in Medicare?
Yes. James 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.
Which organizations bill Medicare for James Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hall reassigns Medicare benefits to 5 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI), Medical Associates Clinic P C (Dubuque, IA), Rockford Health Physicians (Rockford, IL), Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). 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 James Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Hall accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list James 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 James Hall affiliated with any hospitals?
According to CMS data, James Hall is affiliated with Mercyone Dubuque Medical Center.
When was this NPI record last updated?
The NPPES record for James Hall was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# James David Hall, M.D. · NPI 1972693018
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Weston, Wisconsin. Individual provider, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1972693018 (Entity type: Individual)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 56151-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3301 CRANBERRY BLVD, Weston, WI 54476-5216
- **Phone:** (715) 393-3900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI); Medical Associates Clinic P C (NPI 1457300790, Dubuque, IA); Rockford Health Physicians (NPI 1043242886, Rockford, IL); Carle West Physician Group Inc (NPI 1467074138, Normal, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** July 7, 2016
- **Other identifiers:** Medicaid 1972693018 (WI); Medicare PIN WI2609001 (WI); Medicare PIN 535550008 (IL); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1972693018) · Data from the CMS NPPES public registry.