DR. SCOTT ERIC SEGAL MD
NPI 1154373942
Ophthalmology in Pasadena, TX

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
85.28/100
CMS Quality Rating
4450 E SAM HOUSTON PKWY S, SUIT E, PASADENA, TX 77505(713) 473-5715(713) 473-3314 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Eric Segal Md NPPES

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

DR. SCOTT ERIC SEGAL MD (NPI 1154373942) is an individual ophthalmology provider in Pasadena, Texas, licensed in Texas (K6305) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Patients Medical Center, and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1154373942
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SCOTT ERIC SEGALCredential: MD
Location Address4450 E SAM HOUSTON PKWY S, SUIT EPasadena, TX 77505-3950
Mailing Address4450 E Sam Houston Pkwy S, Suite EPasadena, TX 77505-3950 · (713) 473-5715 · Fax (713) 473-3314
Fax(713) 473-3314
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateMay 17, 2006
Last NPPES UpdateOctober 23, 2015
NPI 1154373942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · K6305
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4450 E SAM HOUSTON PKWY S, Pasadena, TX 77505

Other Identifiers 3

Medicare PIN87810JTX
Medicaid045783001TX
Medicare UPING70175TX

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. Scott Eric Segal 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 ID3779473343
PECOS Enrollment IDI20060421000417
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 14

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.
728 services686 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.
723 services681 patients
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.
410 services231 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
163 services163 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.
133 services129 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).
119 services116 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77505 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.

85.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.15
Promoting Interoperability91
Improvement Activities40
Cost64.3

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%126 patients5/55-star benchmark: 100%
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 5

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

Dentist (Periodontics)
4450 E SAM HOUSTON PKWY S, SUITE H2
PASADENA, TX 77505
Optometrist
4450 E SAM HOUSTON PKWY S
PASADENA, TX 77505
Optometrist
4450 E SAM HOUSTON PKWY S, SUITE E
PASADENA, TX 77505
Dentist (General Practice)
4450 E SAM HOUSTON PKWY S, SUITE H
PASADENA, TX 77505
Internal Medicine (Gastroenterology)
4450 E SAM HOUSTON PKWY S, STE H2
PASADENA, TX 77505

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 Scott Segal's NPI number?

The NPI number for Scott Segal is 1154373942. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Scott Segal located?

Scott Segal practices at 4450 E Sam Houston Pkwy S Suit E, Pasadena, TX 77505. The listed phone number is (713) 473-5715.

What is Scott Segal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Scott Segal enrolled in Medicare?

Yes. Scott Segal 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 Scott Segal 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 12 other insurers list Scott Segal 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.

Is Scott Segal affiliated with any hospitals?

According to CMS data, Scott Segal is affiliated with St Luke's Patients Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Segal was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.