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DR. ROOSEVELT GLOYD III OD
NPI 1184646796
Optometrist in Houston, TX

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
5419 FM 1960 RD W STE C, HOUSTON, TX 77069(281) 894-2020(281) 537-7617 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roosevelt Gloyd Iii Od NPPES

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

DR. ROOSEVELT GLOYD III OD (NPI 1184646796) is an individual optometrist in Houston, Texas, licensed in Texas (6821TG) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Houston - College Of Optometry (2005).

NPPES Registry Identity

NPI1184646796
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROOSEVELT GLOYD IIICredential: OD
Location Address5419 FM 1960 RD W STE CHouston, TX 77069-4305
Mailing Address5419 Fm 1960 Rd W Ste CHouston, TX 77069-4305 · (281) 894-2020 · Fax (281) 537-7617
Phone(281) 894-2020
Fax(281) 537-7617
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2005
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 23, 2020
✔ NPI 1184646796 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 · 6821TG
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.
5419 FM 1960 RD W STE C, Houston, TX 77069
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Secondary Practice Location 1

Location 13100 Weslayan, Suite 400Houston, TX 77027-5752 · Phone (713) 526-1600 · Fax (713) 620-7697

Other Identifiers 2

Medicaid183581101TX
Medicaid183581102TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roosevelt Gloyd Iii 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 ID6709895824
PECOS Enrollment IDI20060418000119
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.

Medicare Billing Reassignment

Medicare enrollment records show Roosevelt Gloyd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Berkeley Eye Institute, PLLC
17 mi
Ophthalmology
3100 WESLAYAN ST, STE 400
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 78 clinicians in this Medicare group
NPI 1740286186 (713) 526-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
115 services114 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.
99 services75 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.
50 services48 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.
29 services23 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.
22 services22 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77069 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.

83.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.45
Improvement Activities40
Cost63.05

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 Roosevelt Gloyd's NPI number?

The NPI number for Roosevelt Gloyd is 1184646796. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Roosevelt Gloyd located?

Roosevelt Gloyd practices at 5419 Fm 1960 Rd W Ste C, Houston, TX 77069. The listed phone number is (281) 894-2020.

What is Roosevelt Gloyd's specialty?

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

Is Roosevelt Gloyd enrolled in Medicare?

Yes. Roosevelt Gloyd 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.

Which organization bills Medicare for Roosevelt Gloyd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roosevelt Gloyd reassigns Medicare benefits to Berkeley Eye Institute, PLLC (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roosevelt Gloyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roosevelt Gloyd 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 18 other insurers list Roosevelt Gloyd 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 Roosevelt Gloyd was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.