KIM M HALL (MD) – Family Medicine Physician, NPI 1780660068

KIM M HALL (MD) is a healthcare provider. based in Benton, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 41423 (KY). The NPI Number for KIM M HALL (MD) is 1780660068

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
KIM M HALL (MD)
NPI
1780660068
Phone
(270) 527-2411
Address
617 OLD SYMSONIA RD
Enumeration Date
19 December 2005
Last Update Date
8 April 2009

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
27052714962715
Graduation Year
1993 (33 years ago)
PAC ID
1052359437
Group Practice PAC ID
8527000314
Professional Enrollment ID
I20080108000550
Address ID
KY420257629BE267XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for KIM M HALL (MD)

  • 617, Old Symsonia Road, Benton, Marshall County, Kentucky, 42025, United States

    BENTON, KY 420251365

    Phone: (270) 527-2411

    Fax: (270) 527-8734

    Mailing address matches the actual address.

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: 2008-01-08

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
I20080108000550IFamily PracticeKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42025)

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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: 8527000314View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalKY
-MO

Reviews

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Frequently asked questions

Can I cross-check KIM M HALL (MD) using NPI 1780660068?
NPI 1780660068 belongs to KIM M HALL (MD); compare other details if you need extra assurance.
Is there an active status for KIM M HALL (MD)?
For scheduling context, KIM M HALL (MD) is shown as active in the registry.
How would a patient describe KIM M HALL (MD)'s focus?
For KIM M HALL (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KIM M HALL (MD) associated with Benton?
Public fields place KIM M HALL (MD) around Benton, Kentucky. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for KIM M HALL (MD) is noted as December 19, 2005 where the registry provides it.

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