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SAMUEL MASCARDO OD
NPI 1053151670
Optometrist in Houston, TX

Active since May 30, 2024PECOS Enrolled
2019 W GRAY ST, HOUSTON, TX 77019(713) 528-0765 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Mascardo Od NPPES

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

SAMUEL MASCARDO OD (NPI 1053151670) is an individual optometrist in Houston, Texas, licensed in Texas (11193TG) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053151670
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSAMUEL MASCARDOCredential: OD
Location Address2019 W GRAY STHouston, TX 77019-3601
Mailing Address3910 Wildwood Valley CtKingwood, TX 77345-2061
Phone(713) 528-0765
Sole ProprietorYes
Enumeration DateMay 30, 2024
Last NPPES UpdateFebruary 2, 2025
NPPES CertifiedFebruary 2, 2025
✔ NPI 1053151670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11193TG
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.
2019 W GRAY ST, Houston, TX 77019
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Mascardo Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Mascardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston Optic, PLLC
3.5 mi
Optometrist
2855 GRAMERCY ST
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1558476788 (713) 668-6828
Ce Eye Care PLLC
9.8 mi
Optometrist
10976 WESTHEIMER RD
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1962053256 (347) 788-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77019 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.

Other Providers at the Same Location NPPES

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

LUXOTTICA OF AMERICA INC.
Eyewear Supplier
2019 W GRAY ST
HOUSTON, TX 77019
Harris County (713) 528-0596

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 Samuel Mascardo's NPI number?

The NPI number for Samuel Mascardo is 1053151670. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Samuel Mascardo located?

Samuel Mascardo practices at 2019 W Gray St, Houston, TX 77019. The listed phone number is (713) 528-0765.

What is Samuel Mascardo's specialty?

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

Is Samuel Mascardo enrolled in Medicare?

Yes. Samuel Mascardo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Mascardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Mascardo reassigns Medicare benefits to 2 organizations: Houston Optic, PLLC (Houston, TX) and Ce Eye Care PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Mascardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Mascardo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Providence Health Plan and WellPoint list Samuel Mascardo 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 Samuel Mascardo was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.