DR. DEBRA KAREN HALL (M.D.) – Family Medicine Physician, NPI 1811034861
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
Provider Addresses for DR. DEBRA KAREN HALL (M.D.)
246 KY ROUTE 979
HAROLD, KY 416359046
Phone: (606) 478-4600
Fax: (606) 478-4601
Type: Location
PO BOX 432
PIKEVILLE, KY 415020432
Phone: (606) 886-8175
Fax: (606) 430-7014
Type: Mailing
723 S LAKE DR
PRESTONSBURG, KY 416531340
Phone: (606) 430-2225
Fax: (606) 886-8176
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 232 Open Payments records for all available years, with a total value of $4,060.
Total Amount is formed as General ($4,060) + Research ($0) + Ownership ($0) = $4,060.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($776).
Total Amount
$4,060
General + Research + Ownership
Payments
232
Total payment records
General Amount
$4,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $776 |
| Biogen, Inc. | $480 |
| Lilly USA, LLC | $360 |
| UCB, Inc. | $299 |
| GlaxoSmithKline, LLC. | $252 |
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: 2004-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040408000273 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 339 | 153 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 197 | 100 | $0 |
Insurance plans in this area (ZIP 41635)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 81002 | Urinalysis, manual test | 21 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Hematology/Oncology, Internal Medicine | KY | |
| Physician Assistant | KY | |
| - | KY |
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