2026 NPPES data Neurology Physician NPI 1902885494 MD
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REGINALD HALL, MD

Neurology Physician in CUMMING, Georgia. 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
3K
Medicare Part D claims · 530 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
71 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: REGINALD HALL, MD is a Neurology Physician ([object Object]) practicing in CUMMING, Georgia with a Medicare Part D prescribing footprint of 3K claims across 530 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 92.9348/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.2K across 71 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: REGINALD HALL, MD reported a CMS MIPS final score of 92.9348 out of 100, above the 83.1 national average, and filed 2,590 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)

REGINALD 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).

REGINALD HALL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2006

NPI 1902885494

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

2,590 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Neurology Physician compares to other specialties among Georgia providers

Georgia providers

Neurology Physician share within Georgia

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

Medicare quality performance — MIPS

REGINALD HALL, MD's 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Neurology Physician) — 92.9348/100 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).

REGINALD HALL, MD is a Neurology Physician provider practicing in CUMMING, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1902885494. 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.

REGINALD HALL, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at 1400 NORTHSIDE FORSYTH DR STE 250, CUMMING, GA, 30041, with a listed phone of (770) 889-7118. NPI 1902885494 was issued on 01/12/2006. 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 2,590 prescription claims written by this provider, covering 530 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 11% brand-name and 89% 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 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

1400 NORTHSIDE FORSYTH DR STE 250
CUMMING, GA 30041

Provider Details

NPI 1902885494
Specialty Neurology Physician
Credentials MD
Gender Male
NPI Issued 01/12/2006

CMS Quality Score (MIPS)

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

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where REGINALD 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.

WELLSTAR MEDICAL GROUP LLC
HIRAM, GA

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 REGINALD HALL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

UCB, 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 · Typical

REGINALD HALL, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,590 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.

2,590
Total Claims
$1.5M
Total Drug Cost
530
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,138
Total Day Supply
152,551
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$144K

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.86
Gender Split
60% female / 40% male
Age Distribution
<65: 80, 65-74: 165, 75-84: 217, 85+: 68

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Donepezil Hcl
229
Gabapentin
218
Memantine Hcl Er
Memantine Hcl
213
Levetiracetam
183
Memantine Hcl
139
Carbidopa-Levodopa Er
Carbidopa/Levodopa
96
Clopidogrel
Clopidogrel Bisulfate
85
Pregabalin
81
Primidone
79
Topiramate
71

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

Neurology Physician Overview

How REGINALD HALL, MD fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

REGINALD HALL, MD's 2,590 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is REGINALD HALL, MD's specialty?
REGINALD HALL, MD specializes in Neurology Physician and practices in CUMMING, Georgia. Credentials: MD.
How much does REGINALD HALL, MD prescribe under Medicare Part D?
In 2023, REGINALD HALL, MD wrote 2,590 Medicare Part D claims totaling $1.5M in drug costs for 530 beneficiaries.
What is REGINALD HALL, MD's Medicare quality score?
REGINALD HALL, MD has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is REGINALD HALL, MD located?
REGINALD HALL, MD is located at 1400 NORTHSIDE FORSYTH DR STE 250, CUMMING, GA, 30041. Phone: (770) 889-7118.
What is REGINALD HALL, MD's NPI number?
REGINALD HALL, MD's National Provider Identifier (NPI) is 1902885494, issued on 01/12/2006.
Does REGINALD HALL, MD prescribe more brand-name or generic drugs?
REGINALD HALL, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $1.4M in brand drug costs.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does REGINALD HALL, MD prescribe most often?
Based on 2023 Medicare Part D data, REGINALD HALL, MD's most frequently prescribed drugs include Donepezil Hcl, Gabapentin, Memantine Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does REGINALD HALL, MD accept Medicare?
REGINALD HALL, MD appears in CMS Medicare data with 2,590 Part D claims and 530 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify REGINALD HALL, MD's credentials?
REGINALD HALL, MD's NPI is 1902885494 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