DAVID R. HACKLEY (M.D.) – Orthopaedic Trauma Physician, NPI 1790703288

DAVID R. HACKLEY (M.D.) is a healthcare provider. based in La jolla, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. G75801 (CA). The NPI Number for DAVID R. HACKLEY (M.D.) is 1790703288

Main info

Male
39 Years Of Experience
Name
DAVID R. HACKLEY (M.D.)
NPI
1790703288
Phone
(858) 535-1075
Address
9850 GENESEE AVE.
Enumeration Date
17 July 2006
Last Update Date
6 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8585351075
Graduation Year
1987 (39 years ago)
PAC ID
1456331289
Group Practice PAC ID
8820077712
Professional Enrollment ID
I20040722000792
Address ID
CA920371206LA9850XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,024 ORTHOPEDIC SURGERY in CA

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Provider Addresses for DAVID R. HACKLEY (M.D.)

  • La Jolla Cosmetic Surgery Centre, 9850, Genesee Avenue, Torrey Pines, San Diego, San Diego County, California, 92037, United States

    SUITE 210

    LA JOLLA, CA 920371244

    Phone: (858) 535-1075

    Fax: (858) 453-9810

    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)

CMS reports 16 Open Payments records for all available years, with a total value of $824.

Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Arthrex, Inc. ($517).

Total Amount

$824

General + Research + Ownership

Payments

16

Total payment records

General Amount

$824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-22

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
I20040722000792IOrthopedic SurgeryCATBD

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
J0665Injection, bupivicaine, not otherwise specified, 0.5 mg2,565116$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,69334$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,540228$0
20610Aspiration and/or injection of fluid from large joint421254$0
99214Established patient office or other outpatient visit, 30-39 minutes404320$0
View full utilization report →

Insurance plans in this area (ZIP 92037)

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Provider's Procedures

DAVID R. HACKLEY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCA20610Aspiration and/or injection of large joint or joint capsule464312
ORTHOPEDIC SURGERYCA73562X-ray of knee, 3 views167161

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: 8820077712View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physician AssistantCA
Orthopedic SurgeryCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMA
Physician AssistantCA
Orthopedic Surgery, Hand SurgeryCA
-CA

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Frequently asked questions

What is the standard ID for DAVID R. HACKLEY (M.D.) in the U.S.?
In the U.S., DAVID R. HACKLEY (M.D.) is identified by NPI 1790703288.
Is DAVID R. HACKLEY (M.D.)'s NPI status active today?
Active status means DAVID R. HACKLEY (M.D.)'s NPI record is not deactivated in the public file.
What services align with DAVID R. HACKLEY (M.D.)'s listing?
DAVID R. HACKLEY (M.D.)'s public classification highlights Orthopaedic Trauma Physician. Clinical services aligned with this taxonomy classification.
Is DAVID R. HACKLEY (M.D.) tied to La Jolla, California?
If you are local to La Jolla, California, DAVID R. HACKLEY (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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