JOHN DANIEL HALES III M.D.
NPI 1982081766
Family Medicine - Sports Medicine in Franklin, NC
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, is affiliated with Margaret R Pardee Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show John Hales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pisgah Forest, NC 28768
- Reassigned Medicare billing, North Carolina enrollment
- 401 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Margaret R Pardee Memorial Hospital
Acute Care Hospitals · Hendersonville, NCPhysician 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.
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.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRANKLIN, NC 28734
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.
Which organization bills Medicare for John Hales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hales reassigns Medicare benefits to Henderson County Hospital Corporation (Pisgah Forest, NC). The 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 John Hales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hales accept?
Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John Hales 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 John Hales affiliated with any hospitals?
According to CMS data, John Hales is affiliated with Margaret R Pardee Memorial Hospital.
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.
# John Daniel Hales III, M.D. · NPI 1982081766
Sports Medicine physician in Franklin, North Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2015.
## Identity
- **NPI:** 1982081766 (Entity type: Individual)
- **Enumerated:** April 30, 2015
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 2018-01079 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 190 RIVERVIEW ST, Franklin, NC 28734
- **Phone:** (828) 349-8260 · **Fax:** (828) 253-1123
## 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:** Henderson County Hospital Corporation (NPI 1447877238, Pisgah Forest, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Florida State University College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** March 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1982081766) · Data from the CMS NPPES public registry.