Deactivated NPI 1073509675 Deactivated / Inactive NPI Male Practitioner

Dr. James R Hall , OD

Optometrist • Ardmore, PA

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Hall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005

NPI Deactivation Date March 23, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. James Hall, OD was a registered Optometrist in Ardmore, PA. Prior to record deactivation on 2006-03-23, Dr. Hall completed approximately 1 years of clinical practice following graduation from Pennsylvania College Of Optometry in 2005.

Dr. Hall was affiliated with Ardmore Eye Care Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, photography of the retina, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

11 W Lancaster Ave

Ardmore, PA 190031417

Telephone 6106422151

Fax 6106422190

Associated Practice Facility / Clinic

🏢 James R Hall, Od Facility NPI 1356567820

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ardmore, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -10.5 yrs vs City Avg

City Avg: 31.5 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Ardmore, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (21 Years) 21 Yrs

Ardmore Specialty Average (31.5 Years) 31.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	134	$162.53	$131.56
92250 Photography of the retina	127	124	$106.13	$37.94
92083 Exam of visual field with extended testing	26	24	$146.00	$65.06
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$115.55	$93.50
92133 Imaging of optic nerve	19	18	$101.00	$34.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$245.85	$171.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	149	$162.24	$133.02
92250 Photography of the retina	170	164	$106.18	$39.08
99213 Established patient office or other outpatient visit, typically 15 minutes	34	23	$114.53	$93.96
92083 Exam of visual field with extended testing	23	20	$146.00	$65.75
92133 Imaging of optic nerve	23	20	$101.00	$35.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$255.69	$173.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	146	$160.18	$135.67
92250 Photography of the retina	160	152	$104.81	$39.67
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$111.70	$96.23
92083 Exam of visual field with extended testing	17	16	$146.00	$67.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$244.94	$177.69
92133 Imaging of optic nerve	16	15	$97.63	$36.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	158	$159.00	$138.57
92250 Photography of the retina	180	174	$104.00	$42.31
99213 Established patient office or other outpatient visit, typically 15 minutes	39	27	$111.00	$97.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$237.00	$179.43
92133 Imaging of optic nerve	15	13	$95.00	$37.31
92083 Exam of visual field with extended testing	12	11	$146.00	$68.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$159.00	$120.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	127	$159.00	$116.74
92250 Photography of the retina	141	137	$104.00	$48.64
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$111.00	$80.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$159.00	$115.66
92133 Imaging of optic nerve	16	15	$95.00	$38.10
92083 Exam of visual field with extended testing	11	11	$146.00	$68.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	134	$159.00	$115.21
92250 Photography of the retina	151	143	$104.00	$54.04
99213 Established patient office or other outpatient visit, typically 15 minutes	58	32	$111.00	$78.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$159.00	$115.51
92133 Imaging of optic nerve	24	20	$95.00	$36.94
92083 Exam of visual field with extended testing	23	19	$146.00	$68.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	137	$159.00	$107.82
92250 Photography of the retina	152	139	$103.63	$57.78
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$111.00	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$159.00	$109.03
92133 Imaging of optic nerve	18	17	$95.00	$35.75
92083 Exam of visual field with extended testing	18	17	$146.00	$64.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92250 Photography of the retina	152	140	$102.50	$66.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	122	$158.52	$106.64
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$109.73	$72.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$159.00	$108.39
92083 Exam of visual field with extended testing	14	13	$146.00	$62.90
92133 Imaging of optic nerve	13	11	$95.00	$34.94

Medical Specialties & State Licenses

CMS Verified: 2024-11-07

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG001134

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Keystone Healthpln East

2031815000 (PA)

Hospital & Practice Group Affiliations

Ardmore Eye Care Pc

11 W Lancaster Ave, Adrmore, PA 190031417

Phone: 4016882301

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location November 17, 2011

Registered at 11 W LANCASTER AVE, ARDMORE, PA 190031417 (Tel: 6106422151)

📍

Updated Business Mailing Address November 17, 2011

Registered at 11 W LANCASTER AVE, ARDMORE, PA 190031417 (Tel: 6106422151)

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Provider Name / Credentials Updated November 17, 2011

Recorded as JAMES HALL, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Optometrist (License #OEG001134 in PA)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

🟢

Initial NPI Registration & Enumeration September 20, 2005

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: 1073509675

Entity Type:

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

Enumeration Date: September 20, 2005

Last Update: November 07, 2024

Deactivation Date: March 23, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11 W Lancaster Ave

Ardmore, PA 190031417

Phone: 6106422151

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.