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BRIAN M HALES O.D.
NPI 1154619286
Optometrist in Clare, MI

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
1520 N MCEWAN ST # B, CLARE, MI 48617(989) 386-2020(989) 386-7308 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian M Hales O.d. NPPES

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

BRIAN M HALES O.D. (NPI 1154619286) is an individual optometrist in Clare, Michigan, licensed in Michigan (4901004640) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2011).

NPPES Registry Identity

NPI1154619286
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN M HALESCredential: O.D.
Location Address1520 N MCEWAN ST # BClare, MI 48617-1196
Mailing Address1520 N Mcewan St # BClare, MI 48617-1196 · (989) 386-2020 · Fax (989) 386-7308
Phone(989) 386-2020
Fax(989) 386-7308
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2011
Enumeration DateJuly 11, 2011
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1154619286 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 MI · 4901004640
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.
1520 N MCEWAN ST # B, Clare, MI 48617
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Other Identifiers 5

Medicaid1154619286MI
Medicare OSCAR/certificationMI6157001MI
OtherP01126593MI · Railroad Medicare
Medicare UPINMI6157001MI
Other0A80041MI · Bluecross Blueshield Of Michigan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee 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

Brian M Hales 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 ID8123299898
PECOS Enrollment IDI20110929000390
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 7

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.
113 services113 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
24 services22 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.
19 services13 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
18 services16 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.
16 services16 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48617 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

MID MICHIGAN FAMILY EYE CARE PLLC
Optometrist
1520 N MCEWAN ST # B
CLARE, MI 48617
Clare County (989) 386-2020

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 Brian Hales's NPI number?

The NPI number for Brian Hales is 1154619286. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Brian Hales located?

Brian Hales practices at 1520 N Mcewan St # B, Clare, MI 48617. The listed phone number is (989) 386-2020.

What is Brian Hales's specialty?

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

Is Brian Hales enrolled in Medicare?

Yes. Brian Hales 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 Brian Hales accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of Tennessee, Priority Health and Providence Health Plan list Brian Hales 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 Brian Hales was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.