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DR. ROBERT T CASANOVA JR. M.D.
NPI 1225097512
Ophthalmology in Opelousas, LA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
1110 DR AC TERRANCE BLVD, SUITE 1, OPELOUSAS, LA 70570(337) 942-3449(337) 942-6019 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert T Casanova Jr. M.d. NPPES

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

DR. ROBERT T CASANOVA JR. M.D. (NPI 1225097512) is an individual ophthalmology provider in Opelousas, Louisiana, licensed in Louisiana (020117) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1988).

NPPES Registry Identity

NPI1225097512
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ROBERT T CASANOVA JR.Credential: M.D.
Location Address1110 DR AC TERRANCE BLVD, SUITE 1Opelousas, LA 70570-6403
Mailing Address1110 Dr Ac Terrance Blvd, Suite 1Opelousas, LA 70570-6403 · (337) 942-3449 · Fax (337) 942-6019
Phone(337) 942-3449
Fax(337) 942-6019
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1988
Enumeration DateMarch 23, 2006
Last NPPES UpdateJanuary 26, 2010
✔ NPI 1225097512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 020117
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.
1110 DR AC TERRANCE BLVD, Opelousas, LA 70570
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Other Identifiers 3

Medicaid1398888LA
Medicare UPINE49744LA
Medicare ID-Type Unspecified5N198LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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. Robert T Casanova Jr. 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 ID8426198227
PECOS Enrollment IDI20091229000166
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 12

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.
932 services808 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.
391 services257 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).
292 services247 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
267 services156 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
214 services124 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.
212 services212 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70570 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.01
Improvement Activities40
Cost44.4

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
99%147 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,433 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%187 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers82 claims82 services$49.52 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers66 claims121 services$42.22 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier21 claims41 services$56.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

KENNETH C LAFLEUR M.D.
Ophthalmology
1110 DR AC TERRANCE BLVD, SUITE 2
OPELOUSAS, LA 70570
St. Landry Parish (337) 342-3613
KENNETH CHARLES LAFLEUR, M.D.
Ophthalmology
1110 DR AC TERRANCE BLVD, SUITE 2
OPELOUSAS, LA 70570
St. Landry Parish (337) 942-3613
MS. ALLISON ANNE AMY RN
Registered Nurse
1110 DR AC TERRANCE BLVD, STE 2
OPELOUSAS, LA 70570
St. Landry Parish (337) 942-5633

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 Robert Casanova's NPI number?

The NPI number for Robert Casanova is 1225097512. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Robert Casanova located?

Robert Casanova practices at 1110 Dr Ac Terrance Blvd Suite 1, Opelousas, LA 70570. The listed phone number is (337) 942-3449.

What is Robert Casanova's specialty?

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

Is Robert Casanova enrolled in Medicare?

Yes. Robert Casanova 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 Robert Casanova accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Robert Casanova 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.

Is Robert Casanova affiliated with any hospitals?

According to CMS data, Robert Casanova is affiliated with Opelousas General Health System.

When was this NPI record last updated?

The NPPES record for Robert Casanova was last updated on January 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.