NPI registry status
Active
2026 NPPES data Diagnostic Radiology Physician NPI 1174739601 D.O.
Verify on CMS → Terry Hall, D.O.
Diagnostic Radiology Physician in Prestonsburg, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,433 in Diagnostic Radiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
98
Medicare Part D claims · Diagnostic Radiology Physician avg: 68
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4/100
▲ 14 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Terry Hall, D.O. reported a CMS MIPS final score of 97.4/100 - above the 83.5 national average - and filed 98 Medicare Part D claims in 2024.
- 97.4/100
- MIPS score · +14 vs avg
- 98
- Part D claims, 2024
- 84%
- 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.
Federal trust snapshot
What official records show about Terry Hall, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1174739601), first enumerated 05/14/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 98 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1174739601 · Diagnostic Radiology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1174739601
- ENUM-MID 2007
- TAX-MID 40K Diagnostic Radiology
- MIPS-ELITE 97.4/100
- RX-TRACE 98
- BOOK-THIN 462 in Kentucky
- PHOTO-FINISH Pradeep Goyal · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Hall · this prov…
Hall · this provider
97.4 MIPS pts
- Maddalena Duarte…
Maddalena Duarte
97.4 MIPS pts
- Pradeep Goyal · …
Pradeep Goyal
97.4 MIPS pts
- Nayyer Islam · n…
Nayyer Islam
97.4 MIPS pts
- Thomas Burdick ·…
Thomas Burdick
97.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Terry Hall, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Terry Hall, D.O. sits
This provider among diagnostic radiology physician peers
Across the 945 diagnostic radiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Terry Hall, D.O. writes more Part D claims than 90% of them and scores higher on MIPS quality than 87% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one diagnostic radiology physician peer from a representative sample of 60; the gold marker is Terry Hall, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Terry Hall, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Terry Hall, D.O.?
High performer (top quartile)Primary specialty
Diagnostic Radiology Physician
Medicare Part D claims
98 44% vs specialty avg
MIPS final score
97.4/100 13.9 pts vs avg
Specialty distribution in Kentucky
How Diagnostic Radiology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Terry Hall, D.O.'s 2023 MIPS final score plotted against the Diagnostic Radiology Physician national average
- MIPS Final Score
- 97.4/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1174739601 |
|---|---|
| Specialty | Diagnostic Radiology Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 05/14/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.4009
Final Score
Measured-score avg: 83.5
76.5564
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Terry 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.
According to CMS billing records, Terry Hall, D.O. is affiliated with 3 Medicare-billing facilities.
Pikeville Medical Center Inc
Pikeville, KY
Radiology Alliance PC
Bowling Green, KY
Virtual Radiologic Professionals LLC
Allen, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Terry Hall, D.O. - brand share 16.0%
Diagnostic Radiology Physician average
16% brand-name claims vs 84% generic, on 98 2024 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 2024.
98
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 110
- Total Day Supply
- 3,300
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $426
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 2.38
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Furosemide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Diagnostic Radiology Physician Overview
How Terry Hall, D.O. fits within the Diagnostic Radiology Physician landscape nationally.
40,433
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
68
Avg Claims per Provider
Terry Hall, D.O.'s 98 claims are above the specialty average of 68.
Nationwide Diagnostic Radiology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Hall, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.4 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Diagnostic Radiology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Hall.
One of 462 Diagnostic Radiology Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Jannice Aaron
M.D.
La Grange, KY
Dr. Hicham Abada
MD
Lexington, KY
Dr. Luis Acosta
MD
Lexington, KY
Dr. Sanjay Agarwala
MD
Lexington, KY
Dr. Albert Alexander
M.D.
Louisville, KY
Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Terry Hall, D.O.'s specialty? ▼
Terry Hall, D.O. specializes in Diagnostic Radiology Physician and practices in Prestonsburg, Kentucky. Credentials: D.O..
How much does Terry Hall, D.O. prescribe under Medicare Part D? ▼
In 2024, Terry Hall, D.O. wrote 98 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
What is Terry Hall, D.O.'s Medicare quality score? ▼
Terry Hall, D.O. has a CMS MIPS Final Score of 97.4/100 (Quality: 76.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Terry Hall, D.O. located? ▼
Terry Hall, D.O. is located at 5000 KY ROUTE 321, Prestonsburg, KY, 41653. Phone: (606) 886-7682.
What is Terry Hall, D.O.'s NPI number? ▼
Terry Hall, D.O.'s National Provider Identifier (NPI) is 1174739601, issued on 05/14/2007.
Does Terry Hall, D.O. prescribe more brand-name or generic drugs? ▼
Terry Hall, D.O.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $5K in brand drug costs.
How many Diagnostic Radiology Physician providers are there in the US? ▼
There are 40,433 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 68 Medicare Part D claims per year.
What drugs does Terry Hall, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Terry Hall, D.O.'s most frequently prescribed drugs include Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terry Hall, D.O. accept Medicare? ▼
Terry Hall, D.O. appears in CMS Medicare data with 98 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terry Hall, D.O.'s credentials? ▼
Terry Hall, D.O.'s NPI is 1174739601 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.