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DR. JAYSON KALATHIL TOMY OD
NPI 1124542220
Optometrist in Houston, TX

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 1800, HOUSTON, TX 77030(713) 486-9400(713) 486-9592 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2022, May 23, 2019, Feb 18, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Jayson Kalathil Tomy Od NPPES

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

DR. JAYSON KALATHIL TOMY OD (NPI 1124542220) is an individual optometrist in Houston, Texas, licensed in Texas (9028TG) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2016).

NPPES Registry Identity

NPI1124542220
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAYSON KALATHIL TOMYCredential: OD
Location Address6400 FANNIN ST STE 1800Houston, TX 77030-1526
Mailing Address6400 Fannin St Ste 1800Houston, TX 77030-1526
Phone(713) 486-9400
Fax(713) 486-9592
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2016
Enumeration DateJuly 31, 2017
Last NPPES UpdateJanuary 18, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1124542220 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 · 9028TG
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.
6400 FANNIN ST STE 1800, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 1

Medicaid395725001TX

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. Jayson Kalathil Tomy 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 ID5698047520
PECOS Enrollment IDI20170828000731
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.

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.
48 services48 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.
31 services26 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.
29 services25 patients
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.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 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.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 18

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

ZHIYONG YANG M.D., PH.D.
Ophthalmology (Retina Specialist)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
LAYLA MICHELLE GHERGHEREHCHI M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 559-5200
GRACE SEGA CHANG OTD
Occupational Therapist
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-8000
ASHLYN ELIZABETH GLANN MD
Ophthalmology
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
DR. BHAVANI R. IYER O.D., F.A.A.O.
Optometrist
6400 FANNIN ST STE 1800, UNIVERSITY EYE ASSOCIATES /ROBERT CIZIK EYE CLINIC
HOUSTON, TX 77030
Harris County (713) 559-5200
CHRISTINA CANTU OD
Optometrist
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
MS. CARMEN MULLINS OT
Occupational Therapist (Low Vision)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
MARYBETH CONSTANCE KEISER FARAZDAGHI MD
Ophthalmology
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (507) 284-2511

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 Jayson Tomy's NPI number?

The NPI number for Jayson Tomy is 1124542220. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Jayson Tomy located?

Jayson Tomy practices at 6400 Fannin St Ste 1800, Houston, TX 77030. The listed phone number is (713) 486-9400.

What is Jayson Tomy's specialty?

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

Is Jayson Tomy enrolled in Medicare?

Yes. Jayson Tomy 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 Jayson Tomy 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 Jayson Tomy 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 Jayson Tomy was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.