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WILLIAM L HALL M.D.
NPI 1992747091
Family Medicine in Port Washington, WI

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
115 SWEETWATER BLVD, PORT WASHINGTON, WI 53074(920) 476-6400 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2022, Sep 30, 2020 (2 updates tracked since 2020).

About William L Hall M.d. NPPES

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

WILLIAM L HALL M.D. (NPI 1992747091) is an individual family medicine provider in Port Washington, Wisconsin, licensed in Wisconsin (36941) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Medical College Of Wisconsin (1994).

NPPES Registry Identity

NPI1992747091
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM L HALLCredential: M.D.
Location Address115 SWEETWATER BLVDPort Washington, WI 53074
Mailing Address115 Sweetwater BlvdPort Washington, WI 53074 · (920) 476-6400
Phone(920) 476-6400
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1994
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1992747091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 36941
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.
115 SWEETWATER BLVD, Port Washington, WI 53074
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Other Identifiers 1

Medicaid1992747091WI

Accepted Insurance

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

William L 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.

PECOS PAC ID1052403557
PECOS Enrollment IDI20070828000475
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.

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.
164 services105 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53074 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

MICHAEL A MARTELLA D.O.
Family Medicine
115 SWEETWATER BLVD, PORT WASHINGTON HEALTH CENTER
PORT WASHINGTON, WI 53074
Ozaukee County (920) 476-6400

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 William Hall's NPI number?

The NPI number for William Hall is 1992747091. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is William Hall located?

William Hall practices at 115 Sweetwater Blvd, Port Washington, WI 53074. The listed phone number is (920) 476-6400.

What is William Hall's specialty?

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

Is William Hall enrolled in Medicare?

Yes. William 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 William Hall accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list William 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 William Hall affiliated with any hospitals?

According to CMS data, William Hall is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Froedtert Memorial Lutheran Hospital and Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for William Hall was last updated on October 14, 2022. 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.