DR. JOHN WILLIAM HALLISEY (M.D.) – Ophthalmology Physician, NPI 1467500686

DR. JOHN WILLIAM HALLISEY (M.D.) is a healthcare provider. based in San luis obispo, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. G25366 (CA). The NPI Number for DR. JOHN WILLIAM HALLISEY (M.D.) is 1467500686

Main info

Male
Sole Proprietor
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN WILLIAM HALLISEY (M.D.)
NPI
1467500686
Phone
(805) 541-1342
Address
1270 PEACH ST
Enumeration Date
5 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
8055411342
Graduation Year
1972 (54 years ago)
PAC ID
5193775989
Group Practice PAC ID
4688661747
Professional Enrollment ID
I20050128000889
Address ID
CA934012821SA1270XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for DR. JOHN WILLIAM HALLISEY (M.D.)

  • 1270, Peach Street, Mill Street District, San Luis Obispo, San Luis Obispo County, California, 93410, United States

    SAN LUIS OBISPO, CA 934012856

    Phone: (805) 541-1342

    Fax: (805) 541-5836

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050128000889IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes198117$0
92133Imaging of optic nerve164108$0
92014Established patient complete exam of visual system137122$0
92083Exam of visual field with extended testing10896$0
92020Exam of the internal drainage system of eye3938$0
View full utilization report →

Insurance plans in this area (ZIP 93401)

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Provider's Procedures

DR. JOHN WILLIAM HALLISEY (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92012Eye and medical examination for diagnosis and treatment, established patient141107
OPHTHALMOLOGYCA92134Diagnostic imaging of retina380348

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688661747View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P T O M E T R YCA
Physician AssistantCA

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Frequently asked questions

What number should I use to identify DR. JOHN WILLIAM HALLISEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1467500686 for DR. JOHN WILLIAM HALLISEY (M.D.).
Is DR. JOHN WILLIAM HALLISEY (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN WILLIAM HALLISEY (M.D.) as active.
How should patients interpret DR. JOHN WILLIAM HALLISEY (M.D.)'s specialty?
The extract shows Ophthalmology Physician for DR. JOHN WILLIAM HALLISEY (M.D.). Clinical services aligned with this taxonomy classification.
Is DR. JOHN WILLIAM HALLISEY (M.D.) tied to San Luis Obispo, California?
If you are local to San Luis Obispo, California, DR. JOHN WILLIAM HALLISEY (M.D.) may be relevant to your search.
Who maintains DR. JOHN WILLIAM HALLISEY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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