DR. DAVID K SCALES M.D.
NPI 1164412029
Ophthalmology - Uveitis and Ocular Inflammatory Disease in San Antonio, TX

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9623 HUEBNER RD, SUITE 100, SAN ANTONIO, TX 78240(210) 615-6565(210) 615-6568 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David K Scales M.d. NPPES

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

DR. DAVID K SCALES M.D. (NPI 1164412029) is an individual uveitis and ocular inflammatory disease provider in San Antonio, Texas, licensed in Texas (K4232) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1982).

NPPES Registry Identity

NPI1164412029
Entity TypeIndividualMale
Primary Taxonomy207WX0108X
Provider Legal NameDR. DAVID K SCALESCredential: M.D.
Location Address9623 HUEBNER RD, SUITE 100San Antonio, TX 78240-1664
Mailing Address9623 Huebner Rd, Suite 100San Antonio, TX 78240-1664 · (210) 615-6565 · Fax (210) 615-6568
Fax(210) 615-6568
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1982
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 6, 2017
NPI 1164412029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Uveitis and Ocular Inflammatory DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207WX0108X
License Licensed in TX · K4232
Definition
An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.
Also ListedOphthalmologyTaxonomy 207W00000X · License K4232 (TX)
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License K4232 (TX)
9623 HUEBNER RD, San Antonio, TX 78240

Other Identifiers 3

Medicare UPING56206TX
Medicaid080819801TX
Medicare ID-Type Unspecified0057BYTX · Medicare Number

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. David K Scales M.d. 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 ID7911980560
PECOS Enrollment IDI20040612000465
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 13

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
3,000 services12 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.
402 services216 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.
342 services154 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
294 services26 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
281 services53 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.
220 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%307 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%107 patients
Documentation of Current Medications in the Medical Record
100%2,743 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%21 patients
Tobacco Use and Help with Quitting Among Adolescents
95%22 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 575 patients
Patients totalRate: 0% · 575 patients
0%575 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.

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 David Scales's NPI number?

The NPI number for David Scales is 1164412029. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is David Scales located?

David Scales practices at 9623 Huebner Rd Suite 100, San Antonio, TX 78240. The listed phone number is (210) 615-6565.

What is David Scales's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Uveitis and Ocular Inflammatory Disease, with taxonomy code 207WX0108X.

Is David Scales enrolled in Medicare?

Yes. David Scales 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 David Scales 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 David Scales 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 David Scales was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.