Active NPI 1528115532 Individual Practitioner Female Practitioner

Carol Hall , CNP

Nurse Practitioner • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carol Hall, CNP is a certified Nurse Practitioner practicing in Cleveland, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Carol Hall delivers high-quality medical care to the local community at 9500 EUCLID AVE.

Carol Hall maintains professional affiliations with University Hospitals Medical Group Inc, New Manna Clg Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9500 Euclid Ave

Cleveland, OH 441950001

Telephone 8002232273

Associated Practice Facility / Clinic

🏢 The Cleveland Clinic Foundation Facility NPI 1548251689

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

512 Specialists

Practicing in Cleveland, OH (4294 Statewide)

Telehealth Adoption Rate

22.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (20 Years) 20 Yrs

Cleveland Specialty Average (11.5 Years) 11.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$209.00	$108.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$268.00	$111.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$358.00	$150.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$243.00	$114.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$158.00	$81.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$268.00	$113.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$158.00	$80.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$358.00	$153.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$238.00	$115.49
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	23	$29.00	$10.13
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$100.00	$56.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$189.71	$70.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$268.00	$115.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$184.79	$71.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	53	$158.00	$84.20
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$100.00	$57.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$358.00	$153.36
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	14	$29.00	$10.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$238.00	$124.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$268.00	$109.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$158.00	$67.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	54	54	$358.00	$144.72
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	24	$29.00	$10.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$238.00	$95.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$185.18	$65.08
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$100.00	$44.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	123	123	$358.00	$140.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$268.00	$108.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	63	$238.00	$93.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$158.00	$66.11
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	16	$29.00	$10.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	212	212	$358.49	$140.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	96	94	$238.00	$92.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	56	$140.47	$57.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	35	$208.24	$86.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$358.00	$140.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$93.00	$32.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$238.00	$92.09

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH RN154873

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2707806 (OH)

Hospital & Practice Group Affiliations

University Hospitals Medical Group Inc

11100 Euclid Ave, Cleveland, OH 441061716

New Manna Clg Llc

25501 Chagrin Blvd, Beachwood, OH 441225603

Phone: 2165454800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kristin Johnson , CNP

Nurse Practitioner

NPI 1003074873

Certified Nurse Practitioner

Monica Lynn Shein , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003094772

Certified Registered Nurse Anesthetist

Dr. Kelly Richter , MD

Family Medicine - Sports Medicine

NPI 1003847815

Doctor of Medicine (M.D.)

Dr. Richard Lederman , MD

Psychiatry & Neurology - Neurology

NPI 1003850090

Doctor of Medicine (M.D.)

Dr. Thomas Gretter , MD

Psychiatry & Neurology - Neurology

NPI 1003852468

Doctor of Medicine (M.D.)

Dr. Richard Burgess , MD

Psychiatry & Neurology - Neurology

NPI 1003852757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2008

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 8002232273)

📍

Updated Business Mailing Address April 16, 2008

Registered at 6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 441312139 (Tel: 8002232273)

👤

Provider Name / Credentials Updated April 16, 2008

Recorded as CAROL HALL, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Nurse Practitioner (License #RN154873 in OH)

🟢

Initial NPI Registration & Enumeration January 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528115532

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 04, 2007

Last Update: April 16, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6000 W Creek Rd, Suite 10

Independence, OH 441312139

Phone: 8002232273

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.