HUSSAIN ELHALIS M.D.
NPI 1598086043
Ophthalmology in Ocala, FL

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4414 SW COLLEGE RD STE 1462, OCALA, FL 34474(352) 622-5183(352) 629-5026 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2021, Jan 6, 2020, Feb 7, 2019 and 2 more (5 updates tracked since 2018).

About Hussain Elhalis M.d. NPPES

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

HUSSAIN ELHALIS M.D. (NPI 1598086043) is an individual ophthalmology provider in Ocala, Florida, licensed in Florida (ME119110) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598086043
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameHUSSAIN ELHALISCredential: M.D.
Location Address4414 SW COLLEGE RD STE 1462Ocala, FL 34474-4790
Mailing Address1500 Se Magnolia Ext Ste 101Ocala, FL 34471-4452 · (352) 622-5183 · Fax (352) 629-5026
Fax(352) 629-5026
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 18, 2010
Last NPPES UpdateApril 30, 20215 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
NPI 1598086043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME119110
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.
4414 SW COLLEGE RD STE 1462, Ocala, FL 34474

Secondary Practice Locations 3

Location 18520 SW Highway 200Ocala, FL 34481-7730 · Phone (352) 622-5183 · Fax (352) 622-2720
Location 21950 Laurel Manor Dr Ste 250The Villages, FL 32162-5602 · Phone (352) 622-5183 · Fax (352) 622-2720
Location 31500 SE Magnolia ExtOcala, FL 34471-4463 · Phone (352) 622-5183 · Fax (352) 622-2720

Other Identifiers 1

Medicaid011151900FL

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

Hussain Elhalis 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 ID3678714474
PECOS Enrollment IDI20140624000536
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 17

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.
641 services628 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.
557 services490 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
345 services204 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.
343 services253 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
324 services185 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).
307 services289 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers13 claims13 services$58.04 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 11

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

Optometrist
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Eyewear Supplier
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology (Glaucoma Specialist)
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology (Retina Specialist)
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474
Ophthalmology
4414 SW COLLEGE RD STE 1462
OCALA, FL 34474

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 Hussain Elhalis's NPI number?

The NPI number for Hussain Elhalis is 1598086043. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Hussain Elhalis located?

Hussain Elhalis practices at 4414 SW College Rd Ste 1462, Ocala, FL 34474. The listed phone number is (352) 622-5183.

What is Hussain Elhalis's specialty?

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

Is Hussain Elhalis enrolled in Medicare?

Yes. Hussain Elhalis 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 Hussain Elhalis accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Hussain Elhalis 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 Hussain Elhalis was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.