DR. TIMOTHY ALLEN HALL (M.D.) – Obstetrics & Gynecology Physician, NPI 1114921061

DR. TIMOTHY ALLEN HALL (M.D.) is a healthcare provider. based in Independence, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 102134 (MO). The NPI Number for DR. TIMOTHY ALLEN HALL (M.D.) is 1114921061

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY ALLEN HALL (M.D.)
NPI
1114921061
Phone
(816) 478-0220
Address
19550 E 39TH ST S
Enumeration Date
9 June 2005
Last Update Date
25 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8162307530
Graduation Year
1991 (35 years ago)
PAC ID
7416954110
Group Practice PAC ID
0941119150
Professional Enrollment ID
I20090123000019
Address ID
MO640761462OD609XXSTXX300

Contacts

Secure Messaging
tim.hall@digichart.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

928 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for DR. TIMOTHY ALLEN HALL (M.D.)

  • 19550, East 39th Street South, Selsa, Independence, Jackson County, Missouri, 64057, United States

    STE 300

    INDEPENDENCE, MO 640572303

    Phone: (816) 478-0220

    Fax: (816) 795-3456

    Type: Mailing

  • East 39th Street South, Independence, Jackson County, Missouri, 64015, United States

    STE 300

    INDEPENDENCE, MO 640572303

    Phone: (816) 478-0220

    Fax: (816) 795-3456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $52,427.

Total Amount is formed as General ($52,427) + Research ($0) + Ownership ($0) = $52,427.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($52,013).

Total Amount

$52,427

General + Research + Ownership

Payments

75

Total payment records

General Amount

$52,427

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

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: 2009-01-23

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
I20090123000019IObstetrics/GynecologyMOTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1515$0
View full utilization report →

Insurance plans in this area (ZIP 64057)

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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: 0941119150View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
Pain Management, AnesthesiologyKS
Internal MedicineMO
-KS
Family PracticeMO
General SurgeryMI
Emergency MedicineOK
Nurse PractitionerKS
Emergency MedicineMO

Reviews

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Frequently asked questions

Is there an official ID for DR. TIMOTHY ALLEN HALL (M.D.) in U.S. healthcare records?
The official identifier for DR. TIMOTHY ALLEN HALL (M.D.) is NPI 1114921061.
Is there an active status for DR. TIMOTHY ALLEN HALL (M.D.)?
For scheduling context, DR. TIMOTHY ALLEN HALL (M.D.) is shown as active in the registry.
What kind of doctor is DR. TIMOTHY ALLEN HALL (M.D.)?
DR. TIMOTHY ALLEN HALL (M.D.) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TIMOTHY ALLEN HALL (M.D.)?
Travel planning: use Independence, Missouri as the reference point for DR. TIMOTHY ALLEN HALL (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. TIMOTHY ALLEN HALL (M.D.) is noted as June 9, 2005 where the registry provides it.

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