DR. ANDREW JOSEPH VELAZQUEZ MD
NPI 1013930825
Ophthalmology in Mountain Brk, AL

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
3928 MONTCLAIR RD STE 100, MOUNTAIN BRK, AL 35213(205) 592-3911(205) 592-3537 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Feb 22, 2018 (2 updates tracked since 2018).

About Dr. Andrew Joseph Velazquez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW JOSEPH VELAZQUEZ MD (NPI 1013930825) is an individual ophthalmology provider in Mountain Brk, Alabama, licensed in Alabama (23838) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1998).

NPPES Registry Identity

NPI1013930825
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ANDREW JOSEPH VELAZQUEZCredential: MD
Location Address3928 MONTCLAIR RD STE 100Mountain Brk, AL 35213-2415
Mailing Address3928 Montclair Rd Ste 100Mountain Brk, AL 35213-2415 · (205) 592-3911 · Fax (205) 592-3537
Fax(205) 592-3537
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1998
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
NPI 1013930825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AL · 23838
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3928 MONTCLAIR RD STE 100, Mountain Brk, AL 35213

Other Identifiers 5

OtherH62765AL · Healthspring Of Alabama
OtherP00035987AL · Railroad Medicare
Other051514650AL · Blue Cross
Medicaid009912186AL
Other925494AL · Block Vision

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Joseph Velazquez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911913215
PECOS Enrollment IDI20060223000440
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
489 services471 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
371 services151 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
228 services132 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
167 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
109 services87 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
93 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost23.17

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3928 MONTCLAIR RD STE 100
MOUNTAIN BRK, AL 35213
Optometrist
3928 MONTCLAIR RD STE 100
MOUNTAIN BRK, AL 35213
Ophthalmology
3928 MONTCLAIR RD STE 100
MOUNTAIN BRK, AL 35213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Velazquez's NPI number?

The NPI number for Andrew Velazquez is 1013930825. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Andrew Velazquez located?

Andrew Velazquez practices at 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213. The listed phone number is (205) 592-3911.

What is Andrew Velazquez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew Velazquez enrolled in Medicare?

Yes. Andrew Velazquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Velazquez accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 4 other insurers list Andrew Velazquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Velazquez was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.