1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Ophthalmology
  6. NPI Profile

FUAD MAKKOUK MD
NPI 1023454386
Ophthalmology in Austin, TX

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9707 ANDERSON MILL RD STE 230, AUSTIN, TX 78750(512) 693-9363 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Jul 21, 2022, May 27, 2020 and 3 more (6 updates tracked since 2017).

About Fuad Makkouk Md NPPES

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

FUAD MAKKOUK MD (NPI 1023454386) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (S0733) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023454386
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameFUAD MAKKOUKCredential: MD
Location Address9707 ANDERSON MILL RD STE 230Austin, TX 78750-2300
Mailing Address9707 Anderson Mill Rd Ste 230Austin, TX 78750-2300 · (512) 693-9363
Phone(512) 693-9363
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateDecember 19, 20226 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1023454386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TX · S0733✔ Licensed in CT · 1.056429
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.
9707 ANDERSON MILL RD STE 230, Austin, TX 78750
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19707 Anderson Mill Rd Ste 220Austin, TX 78750 · Phone (512) 693-9363
Location 240 Temple St Ste 1BNew Haven, CT 06510-2715 · Phone (203) 785-3360
Location 3700 University BlvdGalveston, TX 77550 · Phone (409) 747-5800 · Fax (409) 747-5825

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Fuad Makkouk 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 ID42580631
PECOS Enrollment IDI20191021000248
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 10

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
18,960 services67 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,090 services370 patients
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.
745 services286 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
418 services102 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
260 services227 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
200 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78750 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

AUSTIN EYE CENTER PLLC
Ophthalmology
9707 ANDERSON MILL RD STE 230
AUSTIN, TX 78750
Travis County (512) 693-9363

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 Fuad Makkouk's NPI number?

The NPI number for Fuad Makkouk is 1023454386. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Fuad Makkouk located?

Fuad Makkouk practices at 9707 Anderson Mill Rd Ste 230, Austin, TX 78750. The listed phone number is (512) 693-9363.

What is Fuad Makkouk's specialty?

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

Is Fuad Makkouk enrolled in Medicare?

Yes. Fuad Makkouk 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 Fuad Makkouk accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Fuad Makkouk 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.

Is Fuad Makkouk affiliated with any hospitals?

According to CMS data, Fuad Makkouk is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Fuad Makkouk was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.