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MR. THEODORE M HALLBERG OD
NPI 1255331757
Optometrist in Chesapeake, VA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3206 CHURCHLAND BLVD, CHESAPEAKE, VA 23321(757) 484-0101(757) 484-0515 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Theodore M Hallberg Od NPPES

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

MR. THEODORE M HALLBERG OD (NPI 1255331757) is an individual optometrist in Chesapeake, Virginia, licensed in Virginia (0601002124) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1996).

NPPES Registry Identity

NPI1255331757
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. THEODORE M HALLBERGCredential: OD
Location Address3206 CHURCHLAND BLVDChesapeake, VA 23321-5206
Mailing Address3206 Churchland BlvdChesapeake, VA 23321-5206 · (757) 484-0101 · Fax (757) 484-0515
Phone(757) 484-0101
Fax(757) 484-0515
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1996
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 21, 2010
✔ NPI 1255331757 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 VA · 0601002124
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.
3206 CHURCHLAND BLVD, Chesapeake, VA 23321
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Other Names 1

Former Name (1)Mr. Theodore M Hallberg Od

Other Identifiers 5

Medicare ID-Type Unspecified410048943VA · Railroad
Medicare ID-Type Unspecified410001292VA
Medicaid009235094VA
Other753028236VA · Tax Id#
Medicare UPINU74062VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Mr. Theodore M Hallberg 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 ID1557320777
PECOS Enrollment IDI20041005000098
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 8

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.
367 services350 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
236 services109 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.
171 services167 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
133 services102 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.
62 services61 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.
51 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23321 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%580 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%125 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 869 patients
Patients screened: 100% · 869 patients
91%47 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
2%90 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%66 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,235 patients
Patients totalRate: 0% · 1,235 patients
0%1,235 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. ROBERT E BAKER MD
Ophthalmology
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101
OPTICAL SHOPPE PLLC
Eyewear Supplier
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0303
DR. MICHAEL RAYMOND KEVERLINE MD
Ophthalmology
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101
SOUTHSIDE EYE CARE PLLC
Optometrist
3206 CHURCHLAND BLVD
CHESAPEAKE, VA 23321
Chesapeake City (757) 484-0101

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 Theodore Hallberg's NPI number?

The NPI number for Theodore Hallberg is 1255331757. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Mr. Theodore M Hallberg Od.

Where is Theodore Hallberg located?

Theodore Hallberg practices at 3206 Churchland Blvd, Chesapeake, VA 23321. The listed phone number is (757) 484-0101.

What is Theodore Hallberg's specialty?

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

Is Theodore Hallberg enrolled in Medicare?

Yes. Theodore Hallberg 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 Theodore Hallberg accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Theodore Hallberg 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 Theodore Hallberg was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.