JOHN DANIEL HALES III M.D.
NPI 1982081766
Family Medicine - Sports Medicine in Franklin, NC

Q: What is John Hales's NPI number?

The NPI number for John Hales is 1982081766. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is John Hales's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for John Hales was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

190 RIVERVIEW ST, FRANKLIN, NC 28734(828) 349-8260(828) 253-1123 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Oct 3, 2019, Sep 12, 2019 (3 updates tracked since 2019).

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About John Daniel Hales Iii M.d. NPPES

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

JOHN DANIEL HALES III M.D. (NPI 1982081766) is an individual sports medicine provider in Franklin, North Carolina, licensed in North Carolina (2018-01079) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Florida State University College Of Medicine (2015).

NPPES Registry Identity

NPI1982081766

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameJOHN DANIEL HALES IIICredential: M.D.

Location Address190 RIVERVIEW STFranklin, NC 28734

Mailing Address190 Riverview StFranklin, NC 28734-2658 · (828) 349-8260 · Fax (828) 253-1123

Phone(828) 349-8260

Fax(828) 253-1123

Sole ProprietorYes

Medical School CMSFlorida State University College Of MedicineGraduated 2015

Enumeration DateApril 30, 2015

Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1982081766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NC · 2018-01079

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2018-01079 (NC)

190 RIVERVIEW ST, Franklin, NC 28734

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Secondary Practice Locations 2

Location 1190 Riverview StFranklin, NC 28734 · Phone (828) 349-8260 · Fax (828) 253-1123

Location 2310 Long Shoals Rd Ste 201Arden, NC 28704-8794 · Phone (828) 782-9330 · Fax (828) 782-9338

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

John Daniel Hales Iii 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.

PECOS PAC ID1951612936

PECOS Enrollment IDI20191218000777

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28734 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

1 supplier12 claims12 services$84.63 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 16

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

ANGEL MEDICAL CENTER, INC.

Obstetrics & Gynecology

190 RIVERVIEW ST, SUITE 2
FRANKLIN, NC 28734

Macon County (828) 349-8288

ELIZABETH HILEMAN APRN

Nurse Practitioner (Family)

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 213-4444

MH ANGEL MEDICAL CENTER, LLLP

Clinic/Center (Rural Health)

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 349-6804

STEVEN REAGAN NP

Nurse Practitioner (Family)

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 213-4444

BLAKE RUDESEAL MD

Family Medicine (Adolescent Medicine)

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 349-6800

PEDIATRIC ASSOCIATES OF FRANKLIN, P.A.

Pediatrics

190 RIVERVIEW ST, SUITE #2
FRANKLIN, NC 28734

Macon County (828) 369-4444

MISS MELAINE DENISE CAUSEY NP

Specialist

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 369-4257

STEPHEN RAY BAILEY CSFA

Specialist/Technologist, Other (Surgical Assistant)

190 RIVERVIEW ST
FRANKLIN, NC 28734

Macon County (828) 369-4245

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 John Hales's NPI number?

The NPI number for John Hales is 1982081766. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is John Hales located?

John Hales practices at 190 Riverview St, Franklin, NC 28734. The listed phone number is (828) 349-8260.

What is John Hales's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is John Hales enrolled in Medicare?

Yes. John Hales 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.

When was this NPI record last updated?

The NPPES record for John Hales was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.