Physician

David M Hall, M.D.

According to 2025 Medicare claims, David Hall, M.D. (NPI: 1023068582) practices urology in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26505-1238. Hall is affiliated with the ACO West Virginia (ACO ID: A3563) and Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Hall's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 726 traditional Medicare patients, billed 2,008 HCPCS/CPT codes, and received $112,354 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,518 prescription claims across 475 beneficiaries totaling $536,985 in drug costs, led by Xtandi (Enzalutamide). DME data shows 28 claims. Open Payments data shows 47 records totaling $1,139. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $239,010 to $112,354. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $303,496 and ending at $536,985. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $289 to $0.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	993	16,096	$239,010
2016	1,012	2,126	$130,343
2017	936	1,932	$130,551
2018	930	1,875	$127,523
2019	938	1,852	$120,005
2020	818	1,509	$96,150
2021	785	1,630	$117,781
2022	792	1,492	$102,795
2023	774	1,456	$107,681
2024	726	2,008	$112,354

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	659	3,724	$303,496
2016	682	3,558	$277,889
2017	620	3,123	$213,408
2018	628	2,979	$229,965
2019	518	1,967	$153,814
2020	430	1,432	$139,645
2021	436	1,384	$235,649
2022	420	1,228	$137,682
2023	432	1,356	$303,116
2024	475	1,518	$536,985

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	53	$5,968
2016	N/R	37	$10,388
2017	N/R	146	$18,835
2018	15	94	$20,875
2019	14	159	$28,222
2020	14	92	$24,335
2021	14	90	$28,707
2022	13	69	$12,907
2023	N/R	60	$28,559
2024	N/R	28	$8,165

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	630	$65
52000	Diagnostic exam of bladder and urethra using an endoscope	97	118	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	166	185	$43
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	490	646	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	19	630	$302,363
Myrbetriq	Mirabegron	216	8,968	$131,845
Orgovyx	Relugolix	13	384	$35,202
Testosterone	Testosterone	34	1,529	$5,891
Tamsulosin Hcl	Tamsulosin Hcl	351	22,826	$4,668

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	28	$8,165

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	47	$1,139	Dendreon Pharmaceuticals LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for David M. Hall, M.D.?

Tedicare shows public-source Medicare data for David M. Hall, M.D. (NPI 1023068582), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does David M. Hall, M.D. have ACO affiliation data?

David M. Hall, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to David M. Hall, M.D.?

David M. Hall, M.D. is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does David M. Hall, M.D. have Open Payments data?

David M. Hall, M.D. has 47 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.