Individual provider Active NPI

Justin Hellman, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • San Luis Obispo, CA
National Provider Identifier
1487041018
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A147716 Issued in 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
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 147716 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A147716 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001628 CA Practitioner - Ophthalmology 4789988767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CareGroup PAC ID 4789022542, 2 clinicians

Practice addresses (Care Compare)

805 Aerovista PL
Suite 109
San Luis Obispo, CA 93401-7970
Phone (312) 404-7237

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
82.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147716CAMDOphthalmic Plastic and Reconstructive Surgery Physician
A147716CAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Eye Care CurrentSince Jun 1, 2024 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation Ophthalmology PastSince Nov 8, 2020 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

  • Direct secure messaging: jhellman@25828777.micromddirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1487041018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 109",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017970",
            "telephone_number": "805-439-1010",
            "fax_number": "805-439-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL STE 109",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017970",
            "telephone_number": "805-439-1010",
            "fax_number": "805-439-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 W 13 Mile Rd Ste 555",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "248-551-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLMAN",
        "first_name": "JUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "147716",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A147716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.