DR. CARLTON MARSHALL HALEY M.D.
NPI 1407903784
Ophthalmology in Garland, TX

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
87.17/100
CMS Quality Rating
1626 FOREST LN S, SUITE B, GARLAND, TX 75042(972) 272-5591(972) 276-5413 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carlton Marshall Haley M.d. NPPES

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

DR. CARLTON MARSHALL HALEY M.D. (NPI 1407903784) is an individual ophthalmology provider in Garland, Texas, licensed in Texas (390200000X) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407903784
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. CARLTON MARSHALL HALEYCredential: M.D.
Location Address1626 FOREST LN S, SUITE BGarland, TX 75042-7961
Mailing Address1626 Forest Ln S Ste BGarland, TX 75042-7943 · (972) 272-5591
Fax(972) 276-5413
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
NPI 1407903784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · 390200000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1626 FOREST LN S, Garland, TX 75042

Accepted 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

Dr. Carlton Marshall Haley M.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 ID8628169430
PECOS Enrollment IDI20070808000750
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 24

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,640 services21 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.
2,372 services1,819 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.
1,073 services767 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.
1,041 services539 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).
649 services630 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
472 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

87.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.8
Improvement Activities40
Cost60.16

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers48 claims48 services$44.29 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers21 claims39 services$38.08 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier27 claims47 services$47.49 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers52 claims104 services$15.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Eyewear Supplier
1626 FOREST LN S, SUITE A
GARLAND, TX 75042
Ophthalmology
1626 FOREST LN S, SUITE B
GARLAND, TX 75042

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 Carlton Haley's NPI number?

The NPI number for Carlton Haley is 1407903784. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Carlton Haley located?

Carlton Haley practices at 1626 Forest Ln S Suite B, Garland, TX 75042. The listed phone number is (972) 272-5591.

What is Carlton Haley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Carlton Haley enrolled in Medicare?

Yes. Carlton Haley 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 Carlton Haley accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Carlton Haley 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 Carlton Haley was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.