JEFF HALES (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1457344764
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
566 CRITICAL CARE (INTENSIVISTS) in VA
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Provider Addresses for JEFF HALES (MD)
Riverhouse Potomac, 1400, South Joyce Street, Pentagon City, Virginia Highlands, Arlington, Arlington County, Virginia, 22202, United States
SUITE 126
ARLINGTON, VA 222021872
Phone: (703) 521-6662
Fax: (703) 521-5991
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)
CMS reports 169 Open Payments records for all available years, with a total value of $4,402.
Total Amount is formed as General ($4,402) + Research ($0) + Ownership ($0) = $4,402.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($854).
Total Amount
$4,402
General + Research + Ownership
Payments
169
Total payment records
General Amount
$4,402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $854 |
| GlaxoSmithKline, LLC. | $574 |
| United Therapeutics Corporation | $316 |
| Amgen Inc. | $287 |
| SANOFI-AVENTIS U.S. LLC | $195 |
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: 2014-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1047 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20100329000457 | I | Critical Care (Intensivists) | DC | TBD |
| I20140729001673 | I | Critical Care (Intensivists) | VA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 429 | 284 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 222 | 100 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 184 | 168 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 154 | 149 | $0 |
| 94726 | Test to determine lung volumes using sensors | 130 | 126 | $0 |
Insurance plans in this area (ZIP 22202)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | VA | 90670 | Pneumococcal vaccine for injection into muscle | 18 | 18 |
| CRITICAL CARE (INTENSIVISTS) | VA | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 19 | 19 |
| CRITICAL CARE (INTENSIVISTS) | VA | 94727 | Determination of lung volumes using gas dilution or washout | 183 | 172 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| - | VA | |
| Internal Medicine, Pulmonary Disease | MD | |
| - | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| - | MD | |
| Physician Assistant | VA | |
| Physician Assistant | MI |
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