MR. ANTHONY THOMAS HALL (PA-C) – Physician Assistant, NPI 1265926232
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
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Provider Addresses for MR. ANTHONY THOMAS HALL (PA-C)
240 MAPLE AVE
MUKWONAGO, WI 531498475
Phone: (262) 363-1900
Type: Mailing
3807, Spring Street, Mount Pleasant, Racine County, Wisconsin, 53405, United States
MOUNT PLEASANT, WI 534051667
Phone: (262) 687-8173
Type: Mailing
808 Cornerstone Ct
Waterford, WI 531851503
Phone: (262) 928-1977
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Dynavax Technologies Corporation ($41).
Total Amount
$87
General + Research + Ownership
Payments
6
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dynavax Technologies Corporation | $41 |
| Exact Sciences Corporation | $28 |
| Abbott Laboratories | $17 |
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: 2018-09-12
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 |
|---|---|---|---|---|
| I20180912003009 | I | Physician Assistant | WI | 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 | 97 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 16 | $0 |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | 19 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 53149)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Radiation Oncology | WI | |
| Clinical Psychologist | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Clinical Social Worker | WI |
Reviews
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