MEDERIC MICAH HALL (M.D.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1093836728
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
83 PHYSICAL MEDICINE AND REHABILITATION in IA
Provider Addresses for MEDERIC MICAH HALL (M.D.)
2701 PRAIRIE MEADOW DR
IOWA CITY, IA 522428001
Phone: (319) 467-8059
Fax: (319) 384-9305
Type: Mailing
701 W Forevergreen Rd
North Liberty, IA 523179848
Phone: (319) 356-2223
Fax: (319) 353-6745
Type: Location
105 E 9th St
Coralville, IA 522412209
Phone: (319) 467-2000
Fax: (319) 467-2915
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 467-8059
Fax: (319) 384-9305
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $6,722.
Total Amount is formed as General ($6,722) + Research ($0) + Ownership ($0) = $6,722.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: TRICE MEDICAL, INC. ($6,686).
Total Amount
$6,722
General + Research + Ownership
Payments
8
Total payment records
General Amount
$6,722
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TRICE MEDICAL, INC. | $6,686 |
| Wardlow Enterprises | $36 |
| Sonex Health, Inc. | $0 |
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: 2011-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110620000094 | I | Physical Medicine And Rehabilitation | IA | 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 |
|---|---|---|---|---|
| 76882 | Limited ultrasound scan of joint or other extremity structure except blood vessels | 82 | 69 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 55 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 0232T | Harvest and injections of platelet rich plasma using imaging guidance | 22 | 17 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 20 | 17 | $0 |
Insurance plans in this area (ZIP 52242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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