THOMAS I PORTER OD
NPI 1265496871
Optometrist - Low Vision Rehabilitation in Saint Louis, MO

Q: What is Thomas Porter's NPI number?

The NPI number for Thomas Porter is 1265496871. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is Thomas Porter's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Porter was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 12, 2006PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-5200(314) 977-3495 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas I Porter Od NPPES

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

THOMAS I PORTER OD (NPI 1265496871) is an individual low vision rehabilitation provider in Saint Louis, Missouri, licensed in Missouri (T02178) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Southern College Of Optometry (1971).

NPPES Registry Identity

NPI1265496871

Entity TypeIndividualMale

Primary Taxonomy152WL0500X

Provider Legal NameTHOMAS I PORTERCredential: OD

Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016

Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 977-4010 · Fax (314) 977-3495

Phone(314) 977-5200

Fax(314) 977-3495

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 1971

Enumeration DateApril 12, 2006

Last NPPES UpdateNovember 5, 2020

NPPES CertifiedNovember 5, 2020

✔ NPI 1265496871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers

Taxonomy Code152WL0500X

License✔ Licensed in MO · T02178

Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

1225 S GRAND BLVD, Saint Louis, MO 63104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Thomas I Porter Od 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 ID7012052962

PECOS Enrollment IDI20100303001038

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 6

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.

88 services88 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.

51 services51 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.

39 services39 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.

27 services27 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).

13 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

81.57/100

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

Scored as part of a group practice

Quality

76.09

Promoting Interoperability

100

Improvement Activities

Cost

54.28

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW RUSSELL SMEDS MD

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