Active NPI 1104932367 Individual Practitioner Male Practitioner

Dr. M Kenny Hall , MD

Ophthalmology • Marshall, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. M Hall, MD is a certified Ophthalmology practicing in Marshall, TX. With approximately 41 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1985, Dr. Hall delivers high-quality medical care to the local community at 405 E PINECREST DR UNIT A.

Dr. Hall is affiliated with Marvin Kenneth Hall Iii and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 E Pinecrest Dr Unit A

Marshall, TX 756707200

Telephone 9039388581

Fax 9039389409

Associated Practice Facility / Clinic

🏢 Marvin Kenneth Hall Iii Facility NPI 1841301249

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Marshall, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +6.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Marshall, TX (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hall (41 Years) 41 Yrs

Marshall Specialty Average (34.5 Years) 34.5 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
92014 Established patient complete exam of visual system	404	401	$225.00	$114.29
92012 Established patient problem focused exam of visual system	360	288	$175.00	$81.00
99213 Established patient office or other outpatient visit, typically 15 minutes	190	135	$150.00	$83.05
92083 Exam of visual field with extended testing	185	149	$150.00	$57.50
92136 Measurement of corneal curvature and depth of eye	163	72	$107.88	$22.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	94	$175.00	$116.81
66984 Removal of cataract with insertion of lens	67	49	$2900.00	$483.32
92004 New patient complete exam of visual system	62	62	$250.00	$136.25
92250 Photography of the retina	53	51	$175.00	$33.33
92133 Imaging of optic nerve	45	42	$125.00	$32.67
92134 Imaging of retina	30	28	$125.00	$36.43
66821 Removal of recurring cataract in lens capsule using a laser	28	25	$900.00	$280.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$255.00	$154.89
92020 Examination of cornea and iris using lens device and slit lamp	28	25	$75.00	$24.94
66982 Complex removal of cataract with insertion of prosthetic lens	22	20	$3200.00	$667.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	416	410	$225.00	$121.34
92012 Established patient problem focused exam of visual system	337	280	$175.00	$86.18
99213 Established patient office or other outpatient visit, typically 15 minutes	219	157	$150.00	$86.62
92083 Exam of visual field with extended testing	184	157	$150.00	$59.80
92136 Measurement of corneal curvature and depth of eye	137	58	$106.82	$23.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	88	$175.00	$122.73
92004 New patient complete exam of visual system	91	91	$250.00	$142.55
66984 Removal of cataract with insertion of lens	64	47	$2900.00	$504.09
92133 Imaging of optic nerve	50	48	$125.00	$34.86
92250 Photography of the retina	47	46	$175.00	$35.39
66821 Removal of recurring cataract in lens capsule using a laser	30	24	$900.00	$295.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$255.00	$159.95
92134 Imaging of retina	24	24	$125.00	$38.59
92020 Examination of cornea and iris using lens device and slit lamp	21	18	$75.00	$26.61
66982 Complex removal of cataract with insertion of prosthetic lens	16	15	$3200.00	$673.01
92285 Photography of content of eyes	14	14	$85.00	$18.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$125.00	$54.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	477	464	$225.00	$123.16
92012 Established patient problem focused exam of visual system	288	240	$175.00	$86.42
99213 Established patient office or other outpatient visit, typically 15 minutes	213	162	$150.00	$87.80
92083 Exam of visual field with extended testing	177	152	$150.00	$60.27
92136 Measurement of corneal curvature and depth of eye	158	75	$108.67	$25.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	101	$175.00	$122.60
92004 New patient complete exam of visual system	84	84	$250.00	$146.03
66984 Removal of cataract with insertion of lens	74	61	$2900.00	$517.95
92250 Photography of the retina	71	70	$175.00	$35.73
92133 Imaging of optic nerve	35	34	$125.00	$35.51
92134 Imaging of retina	33	30	$125.00	$39.28
66821 Removal of recurring cataract in lens capsule using a laser	31	26	$900.00	$294.44
92020 Examination of cornea and iris using lens device and slit lamp	31	29	$75.00	$25.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$255.00	$161.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$125.00	$54.39
92285 Photography of content of eyes	14	14	$85.00	$18.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	836	557	$147.58	$88.97
92083 Exam of visual field with extended testing	207	170	$150.00	$61.84
92136 Measurement of corneal curvature and depth of eye	155	74	$108.35	$28.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	125	$165.26	$126.50
92012 Established patient problem focused exam of visual system	107	105	$175.00	$87.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	81	$106.91	$54.77
92014 Established patient complete exam of visual system	93	93	$225.00	$124.21
66984 Removal of cataract with insertion of lens	75	61	$2900.00	$514.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$250.71	$162.08
92134 Imaging of retina	54	49	$125.00	$39.76
92250 Photography of the retina	43	42	$175.00	$38.28
92133 Imaging of optic nerve	38	37	$125.00	$36.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$175.00	$109.20
92020 Examination of cornea and iris using lens device and slit lamp	30	25	$75.00	$27.44
92004 New patient complete exam of visual system	27	27	$250.00	$147.83
66821 Removal of recurring cataract in lens capsule using a laser	26	23	$900.00	$303.04
76514 Ultrasound scan of cornea to determine thickness	15	15	$75.00	$10.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	687	426	$175.00	$83.82
92014 Established patient complete exam of visual system	274	273	$225.00	$119.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	158	$80.00	$42.68
92136 Measurement of corneal curvature and depth of eye	209	94	$108.35	$29.85
92083 Exam of visual field with extended testing	208	173	$150.00	$59.12
92004 New patient complete exam of visual system	115	115	$250.00	$142.49
66984 Removal of cataract with insertion of lens	103	80	$2900.00	$483.25
92134 Imaging of retina	49	43	$125.00	$38.24
92133 Imaging of optic nerve	46	46	$125.00	$34.79
92250 Photography of the retina	42	41	$175.00	$41.51
66821 Removal of recurring cataract in lens capsule using a laser	40	34	$900.00	$285.70
92020 Examination of cornea and iris using lens device and slit lamp	30	29	$75.00	$26.23
76514 Ultrasound scan of cornea to determine thickness	18	18	$75.00	$10.81
66984 Removal of cataract with insertion of lens	16	14	$311.56	$61.68
66982 Complex removal of cataract with insertion of prosthetic lens	16	13	$3200.00	$670.15
92002 New patient problem focused exam of visual system	12	12	$150.00	$79.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	807	492	$175.00	$84.95
92014 Established patient complete exam of visual system	308	308	$225.00	$121.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	274	166	$80.00	$43.20
92083 Exam of visual field with extended testing	229	187	$150.00	$61.26
92136 Measurement of corneal curvature and depth of eye	225	106	$107.93	$34.33
92004 New patient complete exam of visual system	144	144	$250.00	$145.92
66984 Removal of cataract with insertion of lens	116	91	$2900.00	$593.22
92250 Photography of the retina	56	55	$175.00	$48.01
92133 Imaging of optic nerve	51	48	$125.00	$35.48
92134 Imaging of retina	48	43	$125.00	$39.42
66821 Removal of recurring cataract in lens capsule using a laser	34	28	$900.00	$295.47
66984 Removal of cataract with insertion of lens	25	20	$116.20	$42.26
76514 Ultrasound scan of cornea to determine thickness	24	24	$75.00	$11.67
92285 Photography of content of eyes	16	16	$85.00	$17.53
92020 Examination of cornea and iris using lens device and slit lamp	14	14	$75.00	$26.80
66982 Complex removal of cataract with insertion of prosthetic lens	14	12	$3200.00	$771.03
92002 New patient problem focused exam of visual system	13	13	$150.00	$80.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	778	485	$175.00	$81.84
92014 Established patient complete exam of visual system	383	380	$225.00	$117.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	162	$80.00	$40.92
92083 Exam of visual field with extended testing	224	193	$150.00	$59.74
92136 Measurement of corneal curvature and depth of eye	208	99	$107.98	$38.32
92004 New patient complete exam of visual system	179	179	$250.00	$141.07
66984 Removal of cataract with insertion of lens	103	80	$2900.00	$564.34
92250 Photography of the retina	79	77	$175.00	$52.62
92020 Examination of cornea and iris using lens device and slit lamp	56	50	$75.00	$24.85
92134 Imaging of retina	55	50	$125.00	$38.12
92133 Imaging of optic nerve	40	40	$125.00	$35.02
66821 Removal of recurring cataract in lens capsule using a laser	30	26	$930.00	$291.21
76514 Ultrasound scan of cornea to determine thickness	24	24	$75.00	$13.85
66984 Removal of cataract with insertion of lens	23	17	$118.91	$48.39
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	21	14	$1325.00	$222.30
66982 Complex removal of cataract with insertion of prosthetic lens	21	18	$3200.00	$703.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	927	567	$175.00	$81.41
92014 Established patient complete exam of visual system	362	355	$225.00	$117.54
92083 Exam of visual field with extended testing	259	218	$150.00	$60.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	161	$80.00	$41.49
92136 Measurement of corneal curvature and depth of eye	225	106	$108.67	$42.38
92004 New patient complete exam of visual system	184	184	$250.00	$140.93
66984 Removal of cataract with insertion of lens	117	90	$2900.00	$576.06
92134 Imaging of retina	61	53	$125.00	$38.87
92020 Examination of cornea and iris using lens device and slit lamp	59	55	$75.00	$25.89
92275 Recording of retinal electrical responses to external stimuli	51	49	$375.00	$140.34
92250 Photography of the retina	48	47	$175.00	$62.11
92133 Imaging of optic nerve	45	45	$125.00	$35.59
66821 Removal of recurring cataract in lens capsule using a laser	35	32	$900.00	$294.31
76514 Ultrasound scan of cornea to determine thickness	28	28	$75.00	$13.81
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	28	17	$1346.43	$230.14
66984 Removal of cataract with insertion of lens	23	17	$277.22	$78.17
66982 Complex removal of cataract with insertion of prosthetic lens	19	16	$3200.00	$711.74
65855 Laser repair to improve eye fluid flow	17	14	$1460.00	$200.23
92002 New patient problem focused exam of visual system	17	17	$150.00	$77.35
92285 Photography of content of eyes	15	15	$85.00	$17.71
92132 Imaging of front third of eye	12	12	$125.00	$29.21

Medical Specialties & State Licenses

CMS Verified: 2022-08-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX H0418

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Specialist

NUCC Taxonomy Code: 174400000X

State License TX H0418

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

127807905 (TX)

Commercial Insurance / Payer ID Blue Cross

8400J0 (TX)

Hospital & Practice Group Affiliations

Marvin Kenneth Hall Iii

405 E Pinecrest Dr, Marshall, TX 756707200

Phone: 9039388581

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Gana Nadiga , MD

Ophthalmology

NPI 1780681411

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 February 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 28, 2012

Registered at 405 E PINECREST DR UNIT A, MARSHALL, TX 756707200 (Tel: 9039388581)

📍

Updated Business Mailing Address February 28, 2012

Registered at 405 E PINECREST DR UNIT A, MARSHALL, TX 756707200 (Tel: 9039388581)

👤

Provider Name / Credentials Updated February 28, 2012

Recorded as M HALL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Specialist (License #H0418 in TX)

🟢

Initial NPI Registration & Enumeration August 21, 2006

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: 1104932367

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: August 22, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

405 E Pinecrest Dr Unit A

Marshall, TX 756707200

Phone: 9039388581

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.