JUSTIN HELLMAN MD
NPI 1487041018
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in San Luis Obispo, CA

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
95.6/100
CMS Quality Rating
805 AEROVISTA PL STE 109, SAN LUIS OBISPO, CA 93401(805) 439-1010(805) 439-1213 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, May 12, 2022, Jul 2, 2019 and 1 more (4 updates tracked since 2016).

About Justin Hellman Md NPPES

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

JUSTIN HELLMAN MD (NPI 1487041018) is an individual ophthalmic plastic and reconstructive surgery provider in San Luis Obispo, California, licensed in California (A147716) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Royal Oak, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2015).

NPPES Registry Identity

NPI1487041018
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameJUSTIN HELLMANCredential: MD
Location Address805 AEROVISTA PL STE 109San Luis Obispo, CA 93401-7970
Mailing Address805 Aerovista Pl Ste 109San Luis Obispo, CA 93401-7970 · (805) 439-1010 · Fax (805) 439-1213
Fax(805) 439-1213
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1487041018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Licenses Licensed in CA · A147716 Licensed in CA · 147716
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
805 AEROVISTA PL STE 109, San Luis Obispo, CA 93401

Secondary Practice Location 1

Location 13535 W 13 Mile Rd Ste 555Royal Oak, MI 48073-6770 · Phone (248) 551-2020

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

Justin Hellman Md 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 ID4789988767
PECOS Enrollment IDI20220419001628
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 28

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
747 services546 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.
499 services363 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.
287 services260 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
224 services215 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
92 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

95.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost85.36

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.

Clinic/Center (Ophthalmologic Surgery)
805 AEROVISTA PL STE 109
SAN LUIS OBISPO, CA 93401
Optometrist
805 AEROVISTA PL STE 109
SAN LUIS OBISPO, CA 93401

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 Justin Hellman's NPI number?

The NPI number for Justin Hellman is 1487041018. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Justin Hellman located?

Justin Hellman practices at 805 Aerovista Pl Ste 109, San Luis Obispo, CA 93401. The listed phone number is (805) 439-1010.

What is Justin Hellman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Justin Hellman enrolled in Medicare?

Yes. Justin Hellman 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 Justin Hellman accept?

Health plans from Providence Health Plan list Justin Hellman 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 Justin Hellman was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.