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JOHN E HALL
NPI 1376575423
Optometrist in Elkhorn, WI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
419 N WISCONSIN ST, ELKHORN, WI 53121(262) 723-2234(226) 723-2834 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E Hall NPPES

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

JOHN E HALL (NPI 1376575423) is an individual optometrist in Elkhorn, Wisconsin, licensed in Wisconsin (1349) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1969).

NPPES Registry Identity

NPI1376575423
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN E HALL
Location Address419 N WISCONSIN STElkhorn, WI 53121-1317
Mailing AddressPo Box 350Elkhorn, WI 53121-0350 · (262) 723-2234 · Fax (226) 723-2834
Phone(262) 723-2234
Fax(226) 723-2834
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1969
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 13, 2009
✔ NPI 1376575423 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 WI · 1349✔ Licensed in IL · 046006337
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.
419 N WISCONSIN ST, Elkhorn, WI 53121
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Other Identifiers 5

Medicare UPINT62103
Medicare ID-Type Unspecified87714WI
Medicaid38571300WI
Medicare NSC5475690001WI
Medicare PIN87714

Accepted Insurance

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

John E Hall 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 ID941311021
PECOS Enrollment IDI20110107000653
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 2

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.
43 services37 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 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 John Hall's NPI number?

The NPI number for John Hall is 1376575423. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is John Hall located?

John Hall practices at 419 N Wisconsin St, Elkhorn, WI 53121. The listed phone number is (262) 723-2234.

What is John Hall's specialty?

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

Is John Hall enrolled in Medicare?

Yes. John 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 John Hall accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 2 other insurers list John 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 John Hall was last updated on March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.