2026 NPPES data Urology Physician NPI 1609816719 D. O.
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JOHN HALL, D. O.

Urology Physician in CAPE GIRARDEAU, Missouri. 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
204
Medicare Part D claims · 65 beneficiaries · Urology Physician avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$608.45
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN HALL, D. O. is a Urology Physician ([object Object]) practicing in CAPE GIRARDEAU, Missouri with a Medicare Part D prescribing footprint of 204 claims across 65 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $608.45 across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN HALL, D. O. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 204 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN HALL, D. O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOHN HALL, D. O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2006

NPI 1609816719

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

204 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Urology Physician compares to other specialties among Missouri providers

Missouri providers

Urology Physician share within Missouri

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Missouri

Medicare quality performance — MIPS

JOHN HALL, D. O.'s 2023 MIPS final score plotted against the Urology Physician national average

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

MIPS final score (Urology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Urology Physician) — 100/100 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).

JOHN HALL, D. O. is a Urology Physician provider practicing in CAPE GIRARDEAU, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D. O.. NPI: 1609816719. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN HALL, D. O. appears in the CMS NPPES registry as a Urology Physician provider holding D. O. credentials at 3 DOCTORS PARK, CAPE GIRARDEAU, MO, 63703, with a listed phone of (573) 334-7748. NPI 1609816719 was issued on 06/07/2006. 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 204 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $24K in drug spend, split 25% brand-name and 75% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

3 DOCTORS PARK
CAPE GIRARDEAU, MO 63703

Provider Details

NPI 1609816719
Specialty Urology Physician
Credentials D. O.
Gender Male
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN HALL, D. O. 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.

CAPE GIRARDEAU UROLOGY ASSOCIATES INC
CAPE GIRARDEAU, MO
HEALTH FACILITIES REHAB SERVICES INC
SIKESTON, MO

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOHN HALL, D. O.. Source: openpaymentsdata.cms.gov.

Total received

$608

Largest payer

Janssen Biotech, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

JOHN HALL, D. O. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 204 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.

204
Total Claims
$24K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
265
Total Day Supply
6,688
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$20K
Generic Drug Cost
$4K
Antibiotic Claims
83

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.30
Gender Split
28% female / 72% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trimethoprim
36
Tamsulosin Hcl
34
Cephalexin
18
Entresto
Sacubitril/Valsartan
12

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

Urology Physician Overview

How JOHN HALL, D. O. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JOHN HALL, D. O.'s 204 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Missouri

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

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN HALL, D. O.'s specialty?
JOHN HALL, D. O. specializes in Urology Physician and practices in CAPE GIRARDEAU, Missouri. Credentials: D. O..
How much does JOHN HALL, D. O. prescribe under Medicare Part D?
In 2023, JOHN HALL, D. O. wrote 204 Medicare Part D claims totaling $24K in drug costs for 65 beneficiaries.
What is JOHN HALL, D. O.'s Medicare quality score?
JOHN HALL, D. O. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN HALL, D. O. located?
JOHN HALL, D. O. is located at 3 DOCTORS PARK, CAPE GIRARDEAU, MO, 63703. Phone: (573) 334-7748.
What is JOHN HALL, D. O.'s NPI number?
JOHN HALL, D. O.'s National Provider Identifier (NPI) is 1609816719, issued on 06/07/2006.
Does JOHN HALL, D. O. prescribe more brand-name or generic drugs?
JOHN HALL, D. O.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $20K in brand drug costs.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JOHN HALL, D. O. prescribe most often?
Based on 2023 Medicare Part D data, JOHN HALL, D. O.'s most frequently prescribed drugs include Trimethoprim, Tamsulosin Hcl, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN HALL, D. O. accept Medicare?
JOHN HALL, D. O. appears in CMS Medicare data with 204 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN HALL, D. O.'s credentials?
JOHN HALL, D. O.'s NPI is 1609816719 with credentials D. O.. 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