MR. THEODORE M HALLBERG (OD) – Optometrist, NPI 1255331757

MR. THEODORE M HALLBERG (OD) is a healthcare provider. based in Chesapeake, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0601002124 (VA). The NPI Number for MR. THEODORE M HALLBERG (OD) is 1255331757

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. THEODORE M HALLBERG (OD)
NPI
1255331757
Phone
(757) 484-0101
Address
3206 CHURCHLAND BLVD
Enumeration Date
26 July 2005
Last Update Date
21 July 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7574840101
Graduation Year
1996 (30 years ago)
PAC ID
1557320777
Group Practice PAC ID
6800887779
Professional Enrollment ID
I20041005000098
Address ID
VA233215206CH3206XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for MR. THEODORE M HALLBERG (OD)

  • Churchland Eye Properties, 3206, Churchland Boulevard, Vacaro Apartments, Poplar Hill, Chesapeake, Virginia, 23321, United States

    CHESAPEAKE, VA 233215206

    Phone: (757) 484-0101

    Fax: (757) 484-0515

    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 4 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($109).

Total Amount

$152

General + Research + Ownership

Payments

4

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2004-10-05

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
I20041005000098IOptometryVATBD

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
92014Established patient complete exam of visual system380359$0
83861Microfluid analysis of tears238114$0
92250Photography of the retina183172$0
92012Established patient problem focused exam of visual system10788$0
99213Established patient office or other outpatient visit, 20-29 minutes7766$0
View full utilization report →

Insurance plans in this area (ZIP 23321)

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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: 6800887779View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

How do payers reference MR. THEODORE M HALLBERG (OD)?
For MR. THEODORE M HALLBERG (OD), use NPI 1255331757 as the unique 10-digit identifier.
Is MR. THEODORE M HALLBERG (OD) shown as active in public data?
Registry records indicate MR. THEODORE M HALLBERG (OD) maintains an active NPI.
What kind of doctor is MR. THEODORE M HALLBERG (OD)?
MR. THEODORE M HALLBERG (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. THEODORE M HALLBERG (OD)?
Travel planning: use Chesapeake, Virginia as the reference point for MR. THEODORE M HALLBERG (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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