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DR. PAUL MICHAEL PALUMBO O.D.
NPI 1184903361
Optometrist in Kingwood, TX

Active since August 05, 2011PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
22741 PROFESSIONAL DR, KINGWOOD, TX 77339(281) 319-4334(281) 319-4855 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Michael Palumbo O.d. NPPES

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

DR. PAUL MICHAEL PALUMBO O.D. (NPI 1184903361) is an individual optometrist in Kingwood, Texas, licensed in Texas (7715TG) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Houston - College Of Optometry (2011).

NPPES Registry Identity

NPI1184903361
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL MICHAEL PALUMBOCredential: O.D.
Location Address22741 PROFESSIONAL DRKingwood, TX 77339-6005
Mailing Address22741 Professional DrKingwood, TX 77339-6005 · (281) 319-4334 · Fax (281) 319-4855
Phone(281) 319-4334
Fax(281) 319-4855
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2011
Enumeration DateAugust 5, 2011
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 23, 2020
✔ NPI 1184903361 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 · 7715TG
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.
22741 PROFESSIONAL DR, Kingwood, TX 77339
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Secondary Practice Location 1

Location 13100 Weslayan St, Suite 400Houston, TX 77027-5727 · Phone (713) 526-1600 · Fax (713) 620-7697

Other Identifiers 3

Medicaid287247501TX
Medicaid287247502TX
Medicaid287247503TX

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. Paul Michael Palumbo O.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 ID1951577618
PECOS Enrollment IDI20111229000571
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 8

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.
263 services246 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.
197 services137 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).
66 services66 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.
61 services57 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.
32 services32 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.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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

Other Providers at the Same Location NPPES 2

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

JOE D NGUYEN OD
Optometrist
22741 PROFESSIONAL DR
KINGWOOD, TX 77339
Harris County (281) 319-4334
WHITNEY J BARKER O.D.
Optometrist
22741 PROFESSIONAL DR
KINGWOOD, TX 77339
Harris County (281) 319-4334

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 Paul Palumbo's NPI number?

The NPI number for Paul Palumbo is 1184903361. It was assigned to this individual provider in the NPPES registry on August 5, 2011.

Where is Paul Palumbo located?

Paul Palumbo practices at 22741 Professional Dr, Kingwood, TX 77339. The listed phone number is (281) 319-4334.

What is Paul Palumbo's specialty?

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

Is Paul Palumbo enrolled in Medicare?

Yes. Paul Palumbo 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 Paul Palumbo 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 Paul Palumbo 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 Paul Palumbo 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.