IndividualActiveAccepts Medicare

Jonathan Hall, PA-C

NPI 1124124771 · Physician Assistant · Frederick, MD

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1124124771
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: 104052 (NC)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense C0003856 (MD)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense 104052 (NC)
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant363A00000XLicense MA054762 (PA)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Detailed profile(95/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Cephalexin	17	17
Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen	14	14
Tramadol Hcl	13	13
Ondansetronbrand: Ondansetron Odt	11	11

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Practice location

86 Thomas Johnson Ct

Frederick, MD 21702-4348

Phone: (301) 694-8311

Fax: (301) 694-3537

Street-level locationGet directions

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Mailing address