GLENN M JR. HALL (MD) – Surgery Physician, NPI 1104072230
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
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Provider Addresses for GLENN M JR. HALL (MD)
3855 PLEASANT HILL RD STE 470
DULUTH, GA 300961417
Phone: (678) 312-7280
Type: Mailing
5324, Niagara Lane, Perrysburg, Wood County, Ohio, 43551, United States
PERRYSBURG, OH 435517172
Phone: (617) 905-5969
Type: Mailing
1380 NW Washington Blvd
Hamilton, OH 450131208
Phone: (513) 737-3690
Type: Location
3073 White Mountain Hwy
North Conway, NH 038607101
Phone: (603) 356-4835
Fax: (603) 356-2604
Type: Location
7 PAGE HILL RD
BERLIN, NH 035703531
Phone: (603) 752-2300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $230.
Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Becton, Dickinson and Company ($157).
Total Amount
$230
General + Research + Ownership
Payments
5
Total payment records
General Amount
$230
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151001002039 | I | General Surgery | OH | TBD |
| I20190926001504 | I | General Surgery | MI | TBD |
| I20201020002158 | I | General Surgery | NH | TBD |
| I20240426000206 | I | General Surgery | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | 11 | $0 |
Insurance plans in this area (ZIP 30096)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | MI | |
| Internal Medicine | MI |
Reviews
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