Individual provider Active NPI

Alyson L Hall, MD

  • Ophthalmology Physician
  • Bowie, MD
National Provider Identifier
1417973314
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0053812 Issued in MD
Practice address
17001 Science Dr
Suite 120
Bowie, MD 20715-4329
Phone
(301) 860-1090
Fax
(301) 860-1095
NPI assigned
Jul 14, 2006
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0053812 MD Primary

Addresses

Primary practice location

17001 Science Dr
Suite 120
Bowie, MD 20715-4329

Mailing address

17001 Science Dr Ste 120
Bowie, MD 20715-4330
Phone (301) 860-1090

Other identifiers 1

IdentifierTypeStateIssuer
859601800MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alysonhallmd@glaucomacenter.direct.eyemdemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041228000767 DC Practitioner - Ophthalmology 0648238345 Reassigns benefits to 1 organization
I20050405000672 MD Practitioner - Ophthalmology 0648238345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers, Robert Woood Johnson Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Glaucoma Center, P.C.Group PAC ID 2668430364, 5 clinicians

Practice addresses (Care Compare)

129 Lubrano Dr
Suite 101
Annapolis, MD 21401-7566
Phone (301) 860-1090

17001 Science Dr
Suite 120
Bowie, MD 20715-4330
Phone (301) 860-1090

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
76.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0053812MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Glaucoma Center, P.C. Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients
The Glaucoma Center, P.C. Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients
The Glaucoma Center, P.C. Past Accepting new patients
The Glaucoma Center, P.C. Past Accepting new patients

Locations

129 Lubrano Dr
Ste 101
Annapolis, MD 21401
Phone (301) 860-1090

2448 Holly Ave
Ste 300
Annapolis, MD 21401
Phone (410) 573-9055

17001 Science Dr
Ste 120
Bowie, MD 20715
Phone (301) 860-1090

4175 N Hanson Ct
Ste 200
Bowie, MD 20716
Phone (301) 262-0002

Interoperability endpoints

  • Direct secure messaging: alysonhallmd@glaucomacenter.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1417973314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DR STE 120",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154330",
            "telephone_number": "301-860-1090",
            "fax_number": "301-860-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 SCIENCE DR",
            "address_2": "SUITE 120",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154329",
            "telephone_number": "301-860-1090",
            "fax_number": "301-860-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ALYSON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0053812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859601800",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alysonhallmd@glaucomacenter.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address to EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17001 Science Dr",
            "address_2": "Suite 120",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207154329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.