EVAN KELTON DACKOWSKI MD
NPI 1275119661
Ophthalmology in Houston, TX

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
3100 WESLAYAN ST STE 400, HOUSTON, TX 77027(713) 526-1600(713) 526-0679 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Jul 2, 2025, Jun 10, 2022 and 3 more (6 updates tracked since 2021).

About Evan Kelton Dackowski Md NPPES

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

EVAN KELTON DACKOWSKI MD (NPI 1275119661) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (V7489) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2021).

NPPES Registry Identity

NPI1275119661
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEVAN KELTON DACKOWSKICredential: MD
Location Address3100 WESLAYAN ST STE 400Houston, TX 77027-5752
Mailing Address21502 Merchants WayKaty, TX 77449-2517 · (281) 944-2232 · Fax (281) 944-2290
Fax(713) 526-0679
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1275119661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TX · V7489 Licensed in IL · 125.078712
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.
3100 WESLAYAN ST STE 400, Houston, TX 77027

Accepted 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

Evan Kelton Dackowski 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 ID8729462338
PECOS Enrollment IDI20250808003286
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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.

Other Providers at the Same Location NPPES 15

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

Optometrist
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Optometrist
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Optometrist
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Ophthalmology
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Optometrist
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Ophthalmology
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Ophthalmology
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027
Optometrist
3100 WESLAYAN ST STE 400
HOUSTON, TX 77027

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 Evan Dackowski's NPI number?

The NPI number for Evan Dackowski is 1275119661. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Evan Dackowski located?

Evan Dackowski practices at 3100 Weslayan St Ste 400, Houston, TX 77027. The listed phone number is (713) 526-1600.

What is Evan Dackowski's specialty?

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

Is Evan Dackowski enrolled in Medicare?

Yes. Evan Dackowski 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 Evan Dackowski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Evan Dackowski 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 Evan Dackowski was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.