DR. SAMUEL HUMBERTO FAVELA JR. O.D.
NPI 1245391754
Optometrist in El Paso, TX
About Dr. Samuel Humberto Favela Jr. O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL HUMBERTO FAVELA JR. O.D. (NPI 1245391754) is an individual optometrist in El Paso, Texas, licensed in Texas (4576-TG) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Samuel Humberto Favela Jr. O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Samuel Favela reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
El Paso, TX 79902
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
El Paso, TX 79902
- Reassigned Medicare billing, Texas enrollment
- 41 clinicians in this Medicare group
El Paso, TX 79907
- Reassigned Medicare billing, Texas enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EL PASO, TX 79912
EL PASO, TX 79912
EL PASO, TX 79912
EL PASO, TX 79912
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 Samuel Favela's NPI number?
The NPI number for Samuel Favela is 1245391754. It was assigned to this individual provider in the NPPES registry on December 12, 2006.
Where is Samuel Favela located?
Samuel Favela practices at 4532 N Mesa St Ste 2A, El Paso, TX 79912. The listed phone number is (915) 544-0326.
What is Samuel Favela's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Samuel Favela enrolled in Medicare?
Yes. Samuel Favela is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samuel Favela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Favela reassigns Medicare benefits to 3 organizations: Visione 360 PA (El Paso, TX), Centro De Salud Familiar La Fe, Inc. (El Paso, TX) and Ysleta Del Sur Pueblo Community Health Center (El Paso, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Favela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Favela 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 9 other insurers list Samuel Favela 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 Samuel Favela was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Samuel Humberto Favela Jr., O.D. · NPI 1245391754
Optometrist provider in El Paso, Texas. Individual provider, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1245391754 (Entity type: Individual)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4576-TG (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4532 N MESA ST STE 2A, El Paso, TX 79912-6287
- **Phone:** (915) 544-0326 · **Fax:** (915) 544-2897
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Visione 360 PA (NPI 1184866808, El Paso, TX); Centro De Salud Familiar La Fe, Inc. (NPI 1669506952, El Paso, TX); Ysleta Del Sur Pueblo Community Health Center (NPI 1144390147, El Paso, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 1991
## Record status
- **NPPES last updated:** August 7, 2019
- **Other identifiers:** Other 80300Q (TX); Medicaid 127221306 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1245391754) · Data from the CMS NPPES public registry.