DR. ROGER ALLEN VELASQUEZ M.D.
NPI 1205154895
Ophthalmology in San Antonio, TX

Active since May 07, 2010PECOS EnrolledAccepts Medicare Assignment
75.82/100
CMS Quality Rating
6810 WEST AVE, UNIT A, SAN ANTONIO, TX 78213(210) 983-3937 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2024, Jun 4, 2019, Jun 22, 2018 (3 updates tracked since 2018).

About Dr. Roger Allen Velasquez M.d. NPPES

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

DR. ROGER ALLEN VELASQUEZ M.D. (NPI 1205154895) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (P9481) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2010).

NPPES Registry Identity

NPI1205154895
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROGER ALLEN VELASQUEZCredential: M.D.
Location Address6810 WEST AVE, UNIT ASan Antonio, TX 78213-1817
Mailing Address6810 West Ave, Ste ASan Antonio, TX 78213-1817 · (210) 450-9400
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2010
Enumeration DateMay 7, 2010
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1205154895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · P9481
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.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License P4981 (TX)
6810 WEST AVE, San Antonio, TX 78213

Other Identifiers 1

Medicaid336193305TX

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. Roger Allen Velasquez 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 ID8921224478
PECOS Enrollment IDI20140718001901
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
416 services255 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.
319 services316 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.
274 services168 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.
212 services212 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.
197 services174 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).
164 services154 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78213 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.

75.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost19.4

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
1%203 patients
Diabetes: Eye Exam
100%207 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,270 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%448 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%375 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 949 patients
Patients totalRate: 0% · 949 patients
0%949 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

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

Ophthalmology (Glaucoma Specialist)
6810 WEST AVE
SAN ANTONIO, TX 78213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205154895, enumerated as an "individual" on May 07, 2010.

The provider is located at 6810 WEST AVE UNIT A SAN ANTONIO, TX 78213 and the phone number is (210) 983-3937.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.