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TOUKA BANAEE MD
NPI 1275037012
Ophthalmology in Galveston, TX

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
EYE CENTER 700 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 747-5800(409) 747-5825 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2022, Mar 19, 2018 (2 updates tracked since 2018).

About Touka Banaee Md NPPES

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

TOUKA BANAEE MD (NPI 1275037012) is an individual ophthalmology provider in Galveston, Texas, licensed in Texas (47837) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains a secondary practice location in League City.

NPPES Registry Identity

NPI1275037012
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameTOUKA BANAEECredential: MD
Location AddressEYE CENTER 700 UNIVERSITY BLVDGalveston, TX 77555-0001
Mailing Address301 University BlvdGalveston, TX 77555-1106 · (409) 747-5800 · Fax (409) 772-4456
Phone(409) 747-5800
Fax(409) 747-5825
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 19, 2018
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1275037012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · 47837
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 47526 (TX)
EYE CENTER 700 UNIVERSITY BLVD, Galveston, TX 77555
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Secondary Practice Location 1

Location 12660 Gulf Fwy SLeague City, TX 77573-6820 · Phone (832) 505-2400 · Fax (281) 337-0843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Touka Banaee 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 ID9931519592
PECOS Enrollment IDI20201110001943
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 13

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
331 services99 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
287 services106 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
217 services40 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
170 services103 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
160 services93 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.
141 services86 patients

Hospital Affiliations CMS Care Compare

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$131.16 typical visit price
range $57.19 – $173.07
Typical copayment $32.79 (range $14.29 – $43.26)
Most-billed visit code 99204
Established Patient
$71.32 typical visit price
range $18.45 – $141.36
Typical copayment $17.83 (range $4.61 – $35.34)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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 Touka Banaee's NPI number?

The NPI number for Touka Banaee is 1275037012. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Touka Banaee located?

Touka Banaee practices at Eye Center 700 University Blvd, Galveston, TX 77555. The listed phone number is (409) 747-5800.

What is Touka Banaee's specialty?

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

Is Touka Banaee enrolled in Medicare?

Yes. Touka Banaee 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 Touka Banaee 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 5 other insurers list Touka Banaee 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 Touka Banaee affiliated with any hospitals?

According to CMS data, Touka Banaee is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Touka Banaee was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.