Subject Numbers Regarding Health Provider Authorizations

Authorization No. 175084-3W

September 23, 2013

Pursuant to Workers' Compensation Law Section 13-d(5), the Chair of the New York State Workers' Compensation Board has exercised his authority to revoke Dr. David Hallasey-Roberts' authorization to treat injured workers within the New York State workers' compensation system effective September 11, 2013. Dr. Hallasey-Roberts' last known business address is 1026 Union Road, West Seneca, New York 14224.

The revocation is based upon a Determination and Order, issued by the New York State Department of Health, State Board for Professional Medical Conduct (BPMC), effective March 7, 2012. A Hearing Committee set forth a penalty of a five (5) year probationary term with a practice monitor. Additionally, Dr. Hallasey-Roberts is permanently restricted from prescribing medication for family members.

The Determination and Order was based upon findings with respect to five specifications of professional misconduct that led to the findings therein. Specifically, findings were sustained with respect to a violation of Article 33 of the Public Health law, negligence on more than one occasion, gross negligence, and failure to maintain records. The factual underpinnings were set forth in the Statement of Charges (Appendix I to BPMC Order #12-32).

Dr. Hallasey-Roberts had his authorization to treat injured workers temporarily suspended by the Board on March 1, 2013.

Dr. Hallasey-Roberts is prohibited from rendering treatment and care to injured workers. Reports submitted by Dr. Hallasey-Roberts for services rendered prior to March 1, 2013, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Hallasey-Roberts for services rendered prior to March 1, 2013 should not be denied due to the temporary suspension and subsequent revocation of his authorization.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.