HE LI MD
NPI 1023542495
Ophthalmology - Glaucoma Specialist in Victoria, TX

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
82.46/100
CMS Quality Rating
107 JAMES COLEMAN DR, VICTORIA, TX 77904(361) 578-0234(361) 580-3168 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2022, Nov 18, 2021, Apr 12, 2021 and 1 more (4 updates tracked since 2017).

About He Li Md NPPES

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

HE LI MD (NPI 1023542495) is an individual glaucoma specialist in Victoria, Texas, licensed in Texas (T5963) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1023542495
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameHE LICredential: MD
Location Address107 JAMES COLEMAN DRVictoria, TX 77904-3100
Mailing Address107 James Coleman DrVictoria, TX 77904-3100 · (361) 578-0234 · Fax (361) 580-3168
Fax(361) 580-3168
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1023542495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in TX · T5963
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License T5963 (TX), 12153870-1205 (UT)
107 JAMES COLEMAN DR, Victoria, TX 77904

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

He Li 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 ID4688923964
PECOS Enrollment IDI20220624001073
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 21

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 services307 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
410 services22 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.
205 services131 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.
184 services25 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.
173 services158 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.
173 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

82.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost41.55

Other Providers at the Same Location NPPES 13

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

Optometrist
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Eyewear Supplier
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Optometrist
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Optometrist
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Optometrist
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Ophthalmology
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Eyewear Supplier
107 JAMES COLEMAN DR
VICTORIA, TX 77904
Eyewear Supplier
107 JAMES COLEMAN DR
VICTORIA, TX 77904

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 He Li's NPI number?

The NPI number for He Li is 1023542495. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is He Li located?

He Li practices at 107 James Coleman Dr, Victoria, TX 77904. The listed phone number is (361) 578-0234.

What is He Li's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is He Li enrolled in Medicare?

Yes. He Li 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 He Li accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and Oscar Insurance Company list He Li 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 He Li was last updated on September 13, 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.