MICAH HALL (MD) – Family Medicine Physician, NPI 1194088484

MICAH HALL (MD) is a healthcare provider. based in Andover, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 9407946 (KS). The NPI Number for MICAH HALL (MD) is 1194088484

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MICAH HALL (MD)
NPI
1194088484
Phone
(316) 733-5120
Address
105 S ANDOVER RD STE D
Enumeration Date
21 June 2012
Last Update Date
16 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3167335120
Graduation Year
2012 (14 years ago)
PAC ID
0840447561
Group Practice PAC ID
7012920663
Professional Enrollment ID
I20170222000485
Address ID
KS670028749AN2117XCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for MICAH HALL (MD)

  • 105 S ANDOVER RD STE D

    ANDOVER, KS 670027926

    Phone: (316) 733-5120

    Fax: (316) 733-1280

    Type: Mailing

  • 2117 KEYSTONE CIR

    ANDOVER, KS 670028749

    Phone: (316) 733-5120

    Fax: (316) 733-1280

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $925.

Total Amount is formed as General ($925) + Research ($0) + Ownership ($0) = $925.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($158).

Total Amount

$925

General + Research + Ownership

Payments

64

Total payment records

General Amount

$925

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-02-22

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
I20170222000485IFamily PracticeKSTBD

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
J0897Injection, denosumab, 1 mg1,08011$0
36415Insertion of needle into vein for collection of blood sample436213$0
80053Blood test, comprehensive group of blood chemicals353206$0
84443Blood test, thyroid stimulating hormone (tsh)279184$0
99214Established patient office or other outpatient visit, 30-39 minutes278149$0
View full utilization report →

Insurance plans in this area (ZIP 67002)

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Provider's Procedures

MICAH HALL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS20610Aspiration and/or injection of large joint or joint capsule1211
FAMILY MEDICINEKS90670Pneumococcal vaccine for injection into muscle2525

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: 7012920663View full group profile
NameSpecialtyState
Family PracticeKS
Physician AssistantKS
Physician AssistantKS
-KS
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Physician AssistantKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

What federal number belongs to MICAH HALL (MD)?
The federal identifier for MICAH HALL (MD) is NPI 1194088484.
Is MICAH HALL (MD)'s NPI currently valid?
The extract we use shows MICAH HALL (MD) as active.
Does MICAH HALL (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MICAH HALL (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICAH HALL (MD)?
The page summarizes Andover, Kansas for MICAH HALL (MD); expand the address list for detail.
Is MICAH HALL (MD) a real provider?
This page reflects official NPPES data for NPI 1194088484. Always confirm identity and privileges with the practice and licensing boards.

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