LUKE TYLER HALL (M.D.) – Family Medicine Physician, NPI 1417150376

LUKE TYLER HALL (M.D.) is a healthcare provider. based in Eldorado, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036128470 (IL). The NPI Number for LUKE TYLER HALL (M.D.) is 1417150376

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
LUKE TYLER HALL (M.D.)
NPI
1417150376
Phone
(618) 273-3361
Address
1407 LOCUST ST
Enumeration Date
7 June 2007
Last Update Date
8 July 2018

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6182979665
Graduation Year
2007 (19 years ago)
PAC ID
8224202817
Group Practice PAC ID
1355389453
Professional Enrollment ID
I20111116000669
Address ID
IL629301662EL1306XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for LUKE TYLER HALL (M.D.)

  • 1407, Locust Street, Beulah Heights, Eldorado, Saline County, Illinois, 62930, United States

    ELDORADO, IL 62930

    Phone: (618) 273-3361

    Type: Location

  • Ferrell Hospital, 1201, Pine Street, Saline City, Eldorado, Saline County, Illinois, 62930, United States

    ELDORADO, IL 629301634

    Phone: (314) 531-6351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180328000422IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7336$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5451$0
99238Hospital discharge day management, 30 minutes or less4443$0
87804Detection test by immunoassay with direct visual observation for influenza virus3417$0
81002Urinalysis, manual test2722$0
View full utilization report →

Insurance plans in this area (ZIP 62930)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355389453View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineIN
Clinical Social WorkerIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Orthopedic SurgeryAZ
P O D I A T R YIL
Orthopedic SurgeryAL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for LUKE TYLER HALL (M.D.)?
Save NPI 1417150376 if you need a stable reference for LUKE TYLER HALL (M.D.).
Is LUKE TYLER HALL (M.D.) active in the national directory?
LUKE TYLER HALL (M.D.)'s public NPI profile is in an active state.
What kind of provider is LUKE TYLER HALL (M.D.)?
The page reflects Family Medicine Physician for LUKE TYLER HALL (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for LUKE TYLER HALL (M.D.)?
We surface Eldorado, Illinois for LUKE TYLER HALL (M.D.) based on available NPPES addresses.
What if Eldorado, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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