Active NPI 1154619286 Individual Practitioner Male Practitioner

Dr. Brian M Hales , OD

Optometrist • Clare, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Hales, OD is a certified Optometrist practicing in Clare, MI. With approximately 15 years of clinical experience since graduating from Ferris State College - College Of Optometry in 2011, Dr. Hales delivers high-quality medical care to the local community at 1520 N MCEWAN ST # B.

Dr. Hales accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1520 N Mcewan St # B

Clare, MI 486171196

Telephone 9893862020

Fax 9893867308

Associated Practice Facility / Clinic

🏢 Mid Michigan Family Eye Care Pllc Facility NPI 1902152762

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clare, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -13.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Clare, MI (2032 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hales (15 Years) 15 Yrs

Clare Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	113	113	$160.00	$117.08
92250 Photography of the retina	24	22	$80.00	$34.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$90.00	$53.28
92083 Exam of visual field with extended testing	18	16	$115.00	$58.25
92004 New patient complete exam of visual system	16	16	$190.00	$138.94
92133 Imaging of optic nerve	15	14	$65.00	$31.65
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$120.00	$86.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	110	108	$160.00	$118.72
92250 Photography of the retina	30	27	$78.63	$35.02
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$120.00	$86.25
92083 Exam of visual field with extended testing	18	14	$115.00	$58.28
92004 New patient complete exam of visual system	16	16	$190.00	$141.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$90.00	$53.49
92133 Imaging of optic nerve	14	11	$65.00	$32.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	128	127	$160.00	$120.38
92004 New patient complete exam of visual system	20	20	$190.00	$142.68
92083 Exam of visual field with extended testing	19	17	$115.00	$58.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$79.33	$54.10
92133 Imaging of optic nerve	14	13	$65.00	$32.26
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$120.00	$87.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	152	148	$160.00	$121.51
92004 New patient complete exam of visual system	28	28	$190.00	$144.68
92250 Photography of the retina	20	18	$86.30	$37.53
92134 Imaging of retina	17	13	$70.00	$38.93
92133 Imaging of optic nerve	17	14	$65.00	$33.77
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$117.50	$87.98
92083 Exam of visual field with extended testing	15	13	$115.00	$60.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	134	130	$160.00	$121.55
92250 Photography of the retina	25	24	$122.00	$43.15
92004 New patient complete exam of visual system	23	23	$190.00	$144.95
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$80.00	$72.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$50.00	$43.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	157	153	$150.68	$121.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$50.00	$42.98
92250 Photography of the retina	33	30	$122.00	$47.74
92004 New patient complete exam of visual system	30	30	$178.73	$144.63
92133 Imaging of optic nerve	28	21	$65.00	$34.16
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$80.00	$71.33
92083 Exam of visual field with extended testing	21	16	$111.00	$60.67
92134 Imaging of retina	11	11	$65.00	$38.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	162	$148.00	$114.83
92004 New patient complete exam of visual system	43	43	$177.00	$137.95
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$80.00	$66.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$50.00	$39.92
92133 Imaging of optic nerve	24	19	$65.00	$32.61
92134 Imaging of retina	22	18	$65.00	$37.96
92083 Exam of visual field with extended testing	22	15	$111.00	$57.90
66984 Removal of cataract with insertion of lens	13	13	$200.00	$74.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	99	98	$148.00	$110.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	70	$109.58	$96.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	35	$50.00	$38.40
99213 Established patient office or other outpatient visit, typically 15 minutes	46	44	$80.00	$64.64
92133 Imaging of optic nerve	34	30	$65.00	$32.95
92134 Imaging of retina	31	30	$64.84	$36.78
92004 New patient complete exam of visual system	25	25	$177.00	$133.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$117.00	$98.83
66984 Removal of cataract with insertion of lens	21	21	$200.00	$77.72
92083 Exam of visual field with extended testing	16	16	$111.00	$56.52

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004640

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1154619286 (MI)

Commercial Insurance / Payer ID Bluecross Blueshield Of Michigan

0A80041 (MI)

Commercial Insurance / Payer ID Railroad Medicare

P01126593 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dale Moser

Optometrist

NPI 1972691202

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2013

Registered at 1520 N MCEWAN ST # B, CLARE, MI 486171196 (Tel: 9893862020)

📍

Updated Business Mailing Address February 13, 2013

Registered at 1520 N MCEWAN ST # B, CLARE, MI 486171196 (Tel: 9893862020)

👤

Provider Name / Credentials Updated February 13, 2013

Recorded as BRIAN HALES, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2013

Optometrist (License #4901004640 in MI)

🟢

Initial NPI Registration & Enumeration July 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154619286

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2011

Last Update: February 13, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1520 N Mcewan St # B

Clare, MI 486171196

Phone: 9893862020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.