ANDREW HALTON OD
NPI 1194398602
Optometrist in Albany, CA

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment
1051 SOLANO AVE, ALBANY, CA 94706(510) 526-3937(510) 526-6133 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Jul 7, 2025, Sep 21, 2021 and 2 more (5 updates tracked since 2021).

About Andrew Halton Od NPPES

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

ANDREW HALTON OD (NPI 1194398602) is an individual optometrist in Albany, California, licensed in California (36197) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2021).

NPPES Registry Identity

NPI1194398602
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDREW HALTONCredential: OD
Location Address1051 SOLANO AVEAlbany, CA 94706-1650
Mailing Address1051 Solano AveAlbany, CA 94706-1650 · (510) 526-3937 · Fax (510) 526-6133
Fax(510) 526-6133
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2021
Enumeration DateJuly 22, 2021
Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1194398602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 36197✔ Licensed in NY · 009394✔ Licensed in NC · 2696
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.
1051 SOLANO AVE, Albany, CA 94706

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Halton Od 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 ID5092112532
PECOS Enrollment IDI20240418002536, I20260604004165
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Andrew Halton reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Optometrist
1051 SOLANO AVE
Albany, CA 94706
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
Optometrist
604 N TRADE ST
Winston Salem, NC 27101
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
Optometrist
1305 LEES CHAPEL RD., SUITE 101
Greensboro, NC 27455
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
Optometrist
8511 COLONNADE CENTER DR, SUITE 100
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
Optometrist
111 SEABOARD AVE STE 110
Raleigh, NC 27604
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group
Corneal and Contact Management
742 MCKNIGHT DR, SUITE 100
Knightdale, NC 27545
  • Reassigned Medicare billing, North Carolina enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
19 services17 patients
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.
13 services13 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94706 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 5

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

Optometrist
1051 SOLANO AVE
ALBANY, CA 94706
Optometrist
1051 SOLANO AVE
ALBANY, CA 94706
Optometrist
1051 SOLANO AVE
ALBANY, CA 94706
Optometrist
1051 SOLANO AVE
ALBANY, CA 94706
Optometrist
1051 SOLANO AVE
ALBANY, CA 94706

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 Andrew Halton's NPI number?

The NPI number for Andrew Halton is 1194398602. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Andrew Halton located?

Andrew Halton practices at 1051 Solano Ave, Albany, CA 94706. The listed phone number is (510) 526-3937.

What is Andrew Halton's specialty?

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

Is Andrew Halton enrolled in Medicare?

Yes. Andrew Halton 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.

Which organizations bill Medicare for Andrew Halton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Halton reassigns Medicare benefits to 6 organizations: Ruth J Chen Od Inc (Albany, CA), Camel City Optometric, P.A. (Winston Salem, NC), Triad Eye Center Od, PA (Greensboro, NC), Good Looks, Od, PA (Raleigh, NC), Eye Institute Od (Raleigh, NC) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Halton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Halton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Andrew Halton 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 Andrew Halton was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.