DR. CHRISTA MARIE WIDJAJA OD
NPI 1053920546
Optometrist in Plano, TX

Active since July 30, 2020PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2021, Jun 1, 2021, Mar 29, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Christa Marie Widjaja Od NPPES

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

DR. CHRISTA MARIE WIDJAJA OD (NPI 1053920546) is an individual optometrist in Plano, Texas, licensed in Texas (9933) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2020).

NPPES Registry Identity

NPI1053920546
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHRISTA MARIE WIDJAJACredential: OD
Location Address5900 COIT RDPlano, TX 75023-5959
Mailing Address5900 Coit RdPlano, TX 75023-5959 · (972) 985-1412 · Fax (972) 945-2125
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2020
Enumeration DateJuly 30, 2020
Last NPPES UpdateOctober 5, 20214 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
NPI 1053920546 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 · 9933
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.

5900 COIT RD, Plano, TX 75023

Other Identifiers 1

Medicaid4215477TX

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

Dr. Christa Marie Widjaja 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 ID4082031935
PECOS Enrollment IDI20200824003441
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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
115 services109 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.
107 services89 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.
52 services34 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.
22 services19 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.
20 services18 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).
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75023 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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.62
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
97%71 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
34%77 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
100%139 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
41%37 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,075 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%488 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,911 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 94% · 363 patients
93%363 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%47 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Specialist
5900 COIT RD, SUITE B
PLANO, TX 75023
Optometrist
5900 COIT RD
PLANO, TX 75023
Registered Nurse (Diabetes Educator)
5900 COIT RD
PLANO, TX 75023

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 Christa Widjaja's NPI number?

The NPI number for Christa Widjaja is 1053920546. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Christa Widjaja located?

Christa Widjaja practices at 5900 Coit Rd, Plano, TX 75023. The listed phone number is (972) 985-1412.

What is Christa Widjaja's specialty?

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

Is Christa Widjaja enrolled in Medicare?

Yes. Christa Widjaja 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 Christa Widjaja accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Christa Widjaja 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 Christa Widjaja was last updated on October 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.