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ERICA MICHELLE LUSE MD
NPI 1225535669
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Houston, TX

Active since April 11, 2018PECOS EnrolledAccepts Medicare Assignment
6701 FANNIN ST STE 610.25, HOUSTON, TX 77030(832) 822-3230 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Jul 6, 2022, Jun 13, 2019 and 1 more (4 updates tracked since 2018).

About Erica Michelle Luse Md NPPES

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

ERICA MICHELLE LUSE MD (NPI 1225535669) is an individual pediatric ophthalmology and strabismus specialist in Houston, Texas, licensed in Texas (T7742) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225535669
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameERICA MICHELLE LUSECredential: MD
Location Address6701 FANNIN ST STE 610.25Houston, TX 77030-2609
Mailing Address6701 Fannin St Ste 610.25Houston, TX 77030-2609 · (832) 822-3230
Phone(832) 822-3230
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2018
Enumeration DateApril 11, 2018
Last NPPES UpdateAugust 15, 20224 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1225535669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in TX · T7742
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 125.073590 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6701 FANNIN ST STE 610.25, Houston, TX 77030
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Other Names 1

Former Name (1)Erica Michelle Smith Md

Secondary Practice Locations 2

Location 16431 Fannin Street, Suite MSB 1.134Houston, TX 77030-5389 · Phone (713) 500-6500 · Fax (713) 500-6497
Location 22160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 216-3408

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Erica Michelle Luse Md 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 ID6305171927
PECOS Enrollment IDI20220615000017
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 2

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
23 services16 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

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 Erica Luse's NPI number?

The NPI number for Erica Luse is 1225535669. It was assigned to this individual provider in the NPPES registry on April 11, 2018. The provider is also known as Erica Michelle Smith MD.

Where is Erica Luse located?

Erica Luse practices at 6701 Fannin St Ste 610.25, Houston, TX 77030. The listed phone number is (832) 822-3230.

What is Erica Luse's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Erica Luse enrolled in Medicare?

Yes. Erica Luse 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 Erica Luse accept?

Health plans from Moda Health Plan, Inc. list Erica Luse 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 Erica Luse affiliated with any hospitals?

According to CMS data, Erica Luse is affiliated with Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Erica Luse was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.