DR. JOHN HELTSLEY
NPI 1649378613
Optometrist in Hopkinsville, KY
About Dr. John Heltsley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN HELTSLEY (NPI 1649378613) is an individual optometrist in Hopkinsville, Kentucky, licensed in Kentucky (1265DT) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1993).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 7
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. John Heltsley 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heltsley's NPI number?
The NPI number for John Heltsley is 1649378613. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is John Heltsley located?
John Heltsley practices at 1620 S Main St, Hopkinsville, KY 42240. The listed phone number is (270) 886-6316.
What is John Heltsley's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is John Heltsley enrolled in Medicare?
Yes. John Heltsley 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 Heltsley accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list John Heltsley 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 Heltsley was last updated on July 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.
