Individual provider Active NPI

Michael Patrick Hall, MD

  • Family Medicine Physician
  • Georgetown, KY
National Provider Identifier
1265828404
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51315 Issued in KY
Practice address
202 Bevins LN
Georgetown, KY 40324-6178
Phone
(859) 323-9333
Fax
(502) 570-5063
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X H11-114-345 KY
Family Medicine Physician 207Q00000X 51315 KY Primary

Addresses

Primary practice location

202 Bevins LN
Georgetown, KY 40324-6178

Mailing address

1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 781-4090

Other practice location 1

1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 781-4090

Other practice location 2

1600 S Canton Center Rd Ste 220
Canton, MI 48188-6276
Phone (734) 853-5694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003526 KY Practitioner - Family Practice 4284936808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

202 Bevins LN
Georgetown, KY 40324-6178
Phone (859) 323-9333

Hospital & facility affiliations

  • Frankfort Regional Healthcare at Home Home health agency, Lexington, KY, CCN 187129
  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

Merit-based Incentive Payment System (MIPS)

Final score
91.88 of 100Reported as group
Quality
95.04
Promoting interoperability
99
Improvement activities
40
Cost
78.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H11-114-345KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Family Medicine CurrentSince Jul 24, 2024 Accepting new patients
University of Kentucky CurrentSince Jul 24, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

202 Bevins Ln
Georgetown, KY 40324
Phone (859) 323-9333

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1265828404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043339",
            "telephone_number": "270-781-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BEVINS LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246178",
            "telephone_number": "859-323-9333",
            "fax_number": "502-570-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1777 Ashley Cir",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043339",
            "country_code": "US",
            "telephone_number": "270-781-4090",
            "fax_number": "270-842-3133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 S Canton Center Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481886276",
            "country_code": "US",
            "telephone_number": "734-853-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "H11-114-345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "51315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.