2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1386637163 MD
Verify on CMS →

CHARLES HALL, MD

Critical Care Medicine (Internal Medicine) Physician in BAY SHORE, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 494 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

CHARLES HALL, MD reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 2,193 Medicare Part D claims in 2023.

91.2532/100
MIPS score · +8 vs avg
2K
Part D claims, 2023
34%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHARLES HALL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CHARLES HALL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CHARLES HALL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/26/2005

NPI 1386637163

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

2,193 105% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Critical Care Medicine (Internal Medicine) Physician share within New York

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within New York

Medicare quality performance — MIPS

CHARLES HALL, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 91.2532/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHARLES HALL, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 370 E MAIN ST, BAY SHORE, NY, 11706, with a listed phone of (631) 666-5806. NPI 1386637163 was issued on 08/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HALL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,193 prescription claims written by this provider, covering 494 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 66% brand-name and 34% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

370 E MAIN ST
BAY SHORE, NY 11706

Provider Details

NPI 1386637163
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/26/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CHARLES HALL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NORTH SHORE-LIJ MEDICAL PC
BAY SHORE, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to CHARLES HALL, MD. To verify CHARLES HALL, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

CHARLES HALL, MD — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 2,193 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,193
Total Claims
$1.8M
Total Drug Cost
494
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,306
Total Day Supply
123,220
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$149K
Antibiotic Claims
82

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.77
Gender Split
65% female / 35% male
Age Distribution
<65: 45, 65-74: 207, 75-84: 184, 85+: 58

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CHARLES HALL, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
389
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
212
Prednisone
152
Breo Ellipta
Fluticasone/Vilanterol
140
Symbicort
Budesonide/Formoterol Fumarate
115
Fluticasone Propionate
103
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
91
Montelukast Sodium
76
Roflumilast
73
Advair Diskus
Fluticasone Propion/Salmeterol
70

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How CHARLES HALL, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

CHARLES HALL, MD's 2,193 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as HALL.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES HALL, MD's specialty?
CHARLES HALL, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in BAY SHORE, New York. Credentials: MD.
How much does CHARLES HALL, MD prescribe under Medicare Part D?
In 2023, CHARLES HALL, MD wrote 2,193 Medicare Part D claims totaling $1.8M in drug costs for 494 beneficiaries.
What is CHARLES HALL, MD's Medicare quality score?
CHARLES HALL, MD has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES HALL, MD located?
CHARLES HALL, MD is located at 370 E MAIN ST, BAY SHORE, NY, 11706. Phone: (631) 666-5806.
What is CHARLES HALL, MD's NPI number?
CHARLES HALL, MD's National Provider Identifier (NPI) is 1386637163, issued on 08/26/2005.
Does CHARLES HALL, MD prescribe more brand-name or generic drugs?
CHARLES HALL, MD's prescribing is 66% brand-name and 34% generic drugs by claim count, with $1.6M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does CHARLES HALL, MD prescribe most often?
Based on 2023 Medicare Part D data, CHARLES HALL, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES HALL, MD accept Medicare?
CHARLES HALL, MD appears in CMS Medicare data with 2,193 Part D claims and 494 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES HALL, MD's credentials?
CHARLES HALL, MD's NPI is 1386637163 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology