DR. HALWARD IV BLEGEN (DO) – Ophthalmology Physician, NPI 1003318569

DR. HALWARD IV BLEGEN (DO) is a healthcare provider. based in Jbsa fort sam houston, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. 02005951A (IN). The NPI Number for DR. HALWARD IV BLEGEN (DO) is 1003318569

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. HALWARD IV BLEGEN (DO)
NPI
1003318569
Phone
(210) 916-2020
Address
3551 ROGER BROOKE DR
Enumeration Date
1 March 2018
Last Update Date
31 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
5058885757
Graduation Year
2018 (8 years ago)
PAC ID
4587175211
Group Practice PAC ID
4486643616
Professional Enrollment ID
I20250618002582
Address ID
NM871093566AL5757XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. HALWARD IV BLEGEN (DO)

  • 3551 ROGER BROOKE DR

    JBSA FORT SAM HOUSTON, TX 78234

    Phone: (210) 916-2020

    Type: Mailing

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 782365638

    Phone: (210) 292-6255

    Fax: (210) 292-7934

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-02-11 • Largest payer in this snapshot: Alcon Vision LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$19
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: 2025-06-18

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
I20250618002582IOphthalmologyNMTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78234)

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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: 4486643616View full group profile
NameSpecialtyState
O P T O M E T R YNM
O P H T H A L M O L O G YNM
-NM
O P H T H A L M O L O G YIA
O P T O M E T R YNM
O P H T H A L M O L O G YNM
O P T O M E T R YNM
O P H T H A L M O L O G YNM
-NM
O P H T H A L M O L O G YNM

Reviews

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Frequently asked questions

Can I use this page to confirm DR. HALWARD IV BLEGEN (DO)'s NPI?
Yes. DR. HALWARD IV BLEGEN (DO) is listed with NPI 1003318569 in the public NPI dataset.
Does the file indicate DR. HALWARD IV BLEGEN (DO) is practicing under active NPI?
Directory data currently reports DR. HALWARD IV BLEGEN (DO) as active.
What taxonomy line describes DR. HALWARD IV BLEGEN (DO)?
For research purposes, treat DR. HALWARD IV BLEGEN (DO) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. HALWARD IV BLEGEN (DO) based?
DR. HALWARD IV BLEGEN (DO) is tied to Jbsa Fort Sam Houston, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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