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PONTEA AZANDARYANI MOMENI O.D
NPI 1023458015
Optometrist in Houston, TX

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
3100 WESLAYAN ST, SUITE 400, HOUSTON, TX 77027(713) 526-1600(713) 620-7697 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pontea Azandaryani Momeni O.d NPPES

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

PONTEA AZANDARYANI MOMENI O.D (NPI 1023458015) is an individual optometrist in Houston, Texas, licensed in Texas (8228TG) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2013).

NPPES Registry Identity

NPI1023458015
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePONTEA AZANDARYANI MOMENICredential: O.D
Location Address3100 WESLAYAN ST, SUITE 400Houston, TX 77027-5727
Mailing Address3100 Weslayan St, Suite 400Houston, TX 77027-5727 · (713) 526-1600 · Fax (713) 620-7697
Phone(713) 526-1600
Fax(713) 620-7697
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2013
Enumeration DateJuly 5, 2013
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 14, 2020
✔ NPI 1023458015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 8228TG✔ Licensed in TX · 8228T
Definition
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.
3100 WESLAYAN ST, Houston, TX 77027
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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

Pontea Azandaryani Momeni O.d 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 ID6800030990
PECOS Enrollment IDI20130911000092
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 7

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.
150 services137 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
45 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
23 services22 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.
23 services20 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

83.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.45
Improvement Activities40
Cost63.05

Other Providers at the Same Location NPPES 17

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

MR. RICHARD LEON NEWMAN M.ED.
Counselor (Addiction (Substance Use Disorder))
3100 WESLAYAN ST, SUITE 375
HOUSTON, TX 77027
Harris County (713) 850-1980
CAPLAN-BERKELEY, LLP
Clinic/Center (Ambulatory Surgical)
3100 WESLAYAN ST, STE 400
HOUSTON, TX 77027
Harris County (713) 526-1600
IVAN C. SPECTOR M.D.
Psychiatry & Neurology (Psychiatry)
3100 WESLAYAN ST, #350
HOUSTON, TX 77027
Harris County (713) 963-0769
DENICE MARIE ESPINOSA
Nurse Anesthetist, Certified Registered
3100 WESLAYAN ST, SUITE 400
HOUSTON, TX 77027
Harris County (713) 526-1600
DR. DAVID ADRIAN GARZA OD
Optometrist
3100 WESLAYAN ST, STE 400
HOUSTON, TX 77027
Harris County (713) 526-1600
CENTRAL HOUSTON PSYCHIATRY, PLLC
Psychiatry & Neurology (Psychiatry)
3100 WESLAYAN ST, SUITE 360
HOUSTON, TX 77027
Harris County (713) 301-2252
DR. MICHAEL BERNARD CAPLAN MD
Ophthalmology
3100 WESLAYAN ST, STE 400
HOUSTON, TX 77027
Harris County (713) 526-1600
LS CHIROPRACTIC, LLC
Chiropractor
3100 WESLAYAN ST, SUITE 378
HOUSTON, TX 77027
Harris County (713) 337-2117

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 Pontea Momeni's NPI number?

The NPI number for Pontea Momeni is 1023458015. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Pontea Momeni located?

Pontea Momeni practices at 3100 Weslayan St Suite 400, Houston, TX 77027. The listed phone number is (713) 526-1600.

What is Pontea Momeni's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Pontea Momeni enrolled in Medicare?

Yes. Pontea Momeni 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 Pontea Momeni 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 12 other insurers list Pontea Momeni 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 Pontea Momeni was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.