Mitchell Glen Hall, PAC
NPI 1164194593ActiveIndividual· Physician Assistant, Surgical· Missoula, MT
Physician Assistant, Surgical (PAC) with Providence Health and Services Mt, practicing in Missoula, Montana. 15 Medicare patients in 2024, $1,392 paid; nearly all of their 51 Part D prescriptions were generic (98%). Acadia Pharmaceuticals Inc reported $43.00 in payments in 2025, mostly food and beverage. Lists St. Patrick Hospital as a hospital affiliation.
Overview
| NPI | 1164194593 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Oct 4, 2021 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | MED-PAC-LIC-131239 | MT |
| Physician Assistant, Surgical | 363AS0400X | PT956 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MT); Practitioner - Physician Assistant (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 20 across 15 procedure codes |
| Paid by Medicare | $1,392 |
Part D prescriptions in 2024
| Prescriptions (claims) | 51 · 59 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $468.45 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services MtMissoula, MT · 362 clinicians
Hospital affiliation
- St. Patrick HospitalMissoula, MT
Industry payments (Open Payments)
- 2025$43.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Acadia Pharmaceuticals Inc | $43.00 | 1 |
What the 2025 payments were for
- Food and Beverage$43.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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