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DR. TOBY JAY BROWN OD
NPI 1053366096
Optometrist in Tulia, TX

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
317 SW 2ND ST, TULIA, TX 79088(806) 995-4102(806) 995-3216 Get Directions Write a Review

NPPES record last updated: April 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Toby Jay Brown Od NPPES

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

DR. TOBY JAY BROWN OD (NPI 1053366096) is an individual optometrist in Tulia, Texas, licensed in Texas (5379T) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry.

NPPES Registry Identity

NPI1053366096
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TOBY JAY BROWNCredential: OD
Location Address317 SW 2ND STTulia, TX 79088-0474
Mailing AddressPo Box 474Tulia, TX 79088-0474 · (806) 995-4102 · Fax (806) 995-3216
Phone(806) 995-4102
Fax(806) 995-3216
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of Optometry
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 4, 2008
✔ NPI 1053366096 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 · 5379T
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.
317 SW 2ND ST, Tulia, TX 79088
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Other Identifiers 4

Medicare PIN00208ETX
Medicare NSC1275640001TX
Medicare UPINU67449
Other00E412TX · Bcbs

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

Dr. Toby Jay Brown Od 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 ID4880750355
PECOS Enrollment IDI20090309000084
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 5

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 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.
120 services120 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.
41 services39 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
17 services17 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79088 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.

Other Providers at the Same Location NPPES 2

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

BROWN VISION CENTER PLLC
Optometrist
317 SW 2ND ST
TULIA, TX 79088
Swisher County (806) 995-4102
BROWN VISION CENTER TOBY J BROWN OD
Optometrist
317 SW 2ND ST
TULIA, TX 79088
Swisher County (806) 995-4102

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 Toby Brown's NPI number?

The NPI number for Toby Brown is 1053366096. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Toby Brown located?

Toby Brown practices at 317 SW 2nd St, Tulia, TX 79088. The listed phone number is (806) 995-4102.

What is Toby Brown's specialty?

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

Is Toby Brown enrolled in Medicare?

Yes. Toby Brown 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 Toby Brown 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 7 other insurers list Toby Brown 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 Toby Brown was last updated on April 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.