DR. DOUGLAS E LEWIS MD
NPI 1225013980
Ophthalmology in Austin, TX

Q: What is Douglas Lewis's NPI number?

The NPI number for Douglas Lewis is 1225013980. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Douglas Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Douglas Lewis was last updated on January 3, 2024. 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.

Active since December 14, 2005PECOS Enrolled

92.81/100

CMS Quality Rating

1700 S MO PAC EXPY, AUSTIN, TX 78746(512) 327-7000(512) 327-5200 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Mar 29, 2023, Feb 23, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Douglas E Lewis Md NPPES

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

DR. DOUGLAS E LEWIS MD (NPI 1225013980) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (H6378) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225013980

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. DOUGLAS E LEWISCredential: MD

Location Address1700 S MO PAC EXPYAustin, TX 78746

Mailing Address5717 Balcones DrAustin, TX 78731-4203 · (512) 327-7000 · Fax (512) 314-1662

Phone(512) 327-7000

Fax(512) 327-5200

Sole ProprietorNo

Enumeration DateDecember 14, 2005

Last NPPES UpdateJanuary 3, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2024

✔ NPI 1225013980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · H6378

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.

1700 S MO PAC EXPY, Austin, TX 78746

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Other Identifiers 11

Medicaid136907605TX

OtherTX6378OH · Eyemed

Other10014255TX · Amerigroup

Other117784100First Care

Medicaid136907601TX

Other32951-005NY · Davis Vision

Other3356952TX · Bluelink

Other4379838TX · Aetna

Other80363STX · Blue Cross Blue Shield

Other915420TX · Block Vision

OtherVP12836Ge Wellness

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming 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 (PECOS)

Dr. Douglas E Lewis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

431 services427 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).

86 services84 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.

67 services59 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.

59 services50 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.

53 services52 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.

29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

92.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.68

Promoting Interoperability

Improvement Activities

Cost

89.21

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.

DR. ROBIN KAYE WATSON O.D.

Optometrist