Justin Hellman, MD
Individual provider Active NPI Ophthalmic Plastic and Reconstructive Surgery Physician · San Luis Obispo, CA
NPI 1487041018 · NPPES record last updated Dec 18, 2024
Key facts
- NPI
- 1487041018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X
- License
- A147716 (CA)
- Practice address
- 805 Aerovista PL Ste 109
San Luis Obispo, CA 93401-7970 - Phone
- (805) 439-1010
- Fax
- (805) 439-1213
- NPI assigned
- Apr 21, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Chicago, Pritzker School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aesthetic Eye Care
Practice addresses (Care Compare)
805 Aerovista PL
Suite 109
San Luis Obispo, CA 93401-7970
Phone (312) 404-7237
Hospital & facility affiliations
- Marian Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.53 of 100
- Quality
- 99.63
- Improvement activities
- 40
- Cost
- 82.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419001628 | CA | Practitioner - Ophthalmology | 4789988767 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147716 | CA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
| A147716 | CA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Eye Care | Current |
Accepting new patients | |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Ophthalmology | Past |
Accepting new patients |
Locations
1429 S Broadway
Santa Maria, CA 93454
Phone (805) 439-1010
805 Aerovista Pl
Ste 109
Sn Luis Obisp, CA 93401
Phone (312) 404-7237
1050 Las Tablas Rd
Ste 6
Templeton, CA 93465
Phone (805) 434-5450
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jhellman@25828777.micromddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 147716 | CA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | A147716 | CA | Yes |
Addresses
Primary practice location
805 Aerovista PL Ste 109
San Luis Obispo, CA 93401-7970
Mailing address
805 Aerovista PL Ste 109
San Luis Obispo, CA 93401-7970
Phone (805) 439-1010
Other practice location 1
3535 W 13 Mile Rd Ste 555
Royal Oak, MI 48073-6770
Phone (248) 551-2020
Other providers in San Luis Obispo, CA
- Bonnie Heikes
- Andrea Neal Heinlein
- Helen Vafaie Psychiatry, D.O., PC.
- Heather M Heller
- Gina Vladimirova Hellman
- David George Helwig
- Lauren Nicole Hemingway
- Carolyn R. Henderson
- Darla Henderson
- Laura Henderson
All providers in San Luis Obispo, CA · Ophthalmic Plastic and Reconstructive Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.