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Active NPI 1679313605 Individual Practitioner Male Practitioner

Timothy James Hall

Nurse Practitioner - Family • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Timothy Hall is a certified Nurse Practitioner - Family practicing in Kettering, OH. With approximately 3 years of clinical experience since completing medical education in 2023, Timothy Hall delivers high-quality medical care to the local community at 1050 FORRER BLVD STE 250.

Timothy Hall is affiliated with Mend Health Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include admn sarscov2 vacc 1 dose, influenza vaccine split virus, preservative free, sarscv2 vac 30mcg trs-suc im. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1050 Forrer Blvd Ste 250

Kettering, OH 454203640

Telephone 8009864801
Fax 9376849990

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Kettering, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.7 yrs vs City Avg
City Avg: 8.7 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
58 Specialists

Practicing in Kettering, OH (9717 Statewide)

Telehealth Adoption Rate
24.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (3 Years) 3 Yrs
Kettering Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90480 Admn sarscov2 vacc 1 dose
23 23 $40.00 $39.20
90662 Influenza vaccine split virus, preservative free
22 22 $95.00 $81.82
91320 Sarscv2 vac 30mcg trs-suc im
22 22 $144.09 $141.21
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $115.00 $72.89

Medical Specialties & State Licenses

CMS Verified: 2025-06-26
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License OH 0037300

Definition to come...

Hospital & Practice Group Affiliations

Mend Health Llc

1050 Forrer Blvd, Kettering, OH 454203640

Phone: 9378941220

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tyra Martinear , CNP

Nurse Practitioner

NPI 1447621941

Certified Nurse Practitioner

NPI 1487342325

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Anpreet Randhawa

Nurse Practitioner - Family

NPI 1538955000
Sonia Fizet , APRN

Nurse Practitioner - Family

NPI 1790456986

Advanced Practice Registered Nurse

NPI 1811245202

Certified Nurse Practitioner

Carmelite Ruskowski

Family Medicine - Adult Medicine

NPI 1871238592

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 26, 2025

Registered at 1050 FORRER BLVD STE 250, KETTERING, OH 454203640 (Tel: 8009864801)

📍
Updated Business Mailing Address June 26, 2025

Registered at 1050 FORRER BLVD STE 250, KETTERING, OH 454203640 (Tel: 8009864801)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2024

Nurse Practitioner (License #0037300 in OH)

NPI Profile Active May 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2024

Registered at 1313 SHELLEY CT, MIAMISBURG, OH 453426263 (Tel: 9376942297)

📍
Updated Business Mailing Address May 28, 2024

Registered at 1313 SHELLEY CT, MIAMISBURG, OH 453426263 (Tel: 9376942297)

👤
Provider Name / Credentials Updated May 28, 2024

Recorded as TIMOTHY HALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2024

Nurse Practitioner (License #04240426 in OH)

🟢
Initial NPI Registration & Enumeration May 28, 2024

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: 1679313605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2024
Last Update: June 26, 2025
Sole Proprietor: No

Mailing Address

1050 Forrer Blvd Ste 250

Kettering, OH 454203640

Phone: 8009864801

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.