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BENJAMIN LEE HALL O.D.
NPI 1154603140
Optometrist in Morganton, NC

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
91.63/100
CMS Quality Rating
335 E PARKER RD, MORGANTON, NC 28655(828) 433-1000(828) 430-3465 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Lee Hall O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN LEE HALL O.D. (NPI 1154603140) is an individual optometrist in Morganton, North Carolina, licensed in North Carolina (2238) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1154603140
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENJAMIN LEE HALLCredential: O.D.
Location Address335 E PARKER RDMorganton, NC 28655-5112
Mailing Address335 E Parker RdMorganton, NC 28655-5112 · (828) 433-1000 · Fax (828) 430-3465
Phone(828) 433-1000
Fax(828) 430-3465
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateSeptember 15, 2011
✔ NPI 1154603140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2238
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
335 E PARKER RD, Morganton, NC 28655
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Lee Hall O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537332283
PECOS Enrollment IDI20111026000028
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
245 services245 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services75 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
37 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services31 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.86
Promoting Interoperability100
Improvement Activities40
Cost82.26

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEIGHTON ALVIN RAYNOR M.D.
Ophthalmology
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
DR. JONATHAN WADE O.D.
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
MORGANTON EYE PHYSICIANS, P.A.
Clinic/Center (Ambulatory Surgical)
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
PHILIP DOUGLAS KATH M.D.
Ophthalmology
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
DR. JORDAN AMBROSE MARGO M.D.
Ophthalmology
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
LANDON STURDIVANT
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000
MORGANTON EYE PHYSICIANS, P.A.
Ophthalmology
335 E PARKER RD, OPTICAL DEPARTMENT
MORGANTON, NC 28655
Burke County (828) 433-1000
DR. BRITTANY BRINKLEY TATUM O.D.
Optometrist
335 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 433-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Hall's NPI number?

The NPI number for Benjamin Hall is 1154603140. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Benjamin Hall located?

Benjamin Hall practices at 335 E Parker Rd, Morganton, NC 28655. The listed phone number is (828) 433-1000.

What is Benjamin Hall's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benjamin Hall enrolled in Medicare?

Yes. Benjamin Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Hall accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 5 other insurers list Benjamin Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Hall was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.