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ERIC LEE KETCHUM O.D.
NPI 1275820649
Optometrist in Emory, TX

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
886 E LENNON DR STE 102, EMORY, TX 75440(903) 474-9090(903) 474-9111 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric Lee Ketchum O.d. NPPES

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

ERIC LEE KETCHUM O.D. (NPI 1275820649) is an individual optometrist in Emory, Texas, licensed in Texas (7878T) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2011).

NPPES Registry Identity

NPI1275820649
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameERIC LEE KETCHUMCredential: O.D.
Location Address886 E LENNON DR STE 102Emory, TX 75440-3216
Mailing Address886 E Lennon Dr Ste 102Emory, TX 75440-3216 · (903) 474-9090 · Fax (903) 474-9111
Phone(903) 474-9090
Fax(903) 474-9111
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2011
Enumeration DateJuly 6, 2011
✔ NPI 1275820649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 7878T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
886 E LENNON DR STE 102, Emory, TX 75440
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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

Eric Lee Ketchum O.d. 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 ID4486824505
PECOS Enrollment IDI20110829000545
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 10

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.
458 services454 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.
243 services190 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.
154 services154 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.
133 services125 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
130 services129 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).
124 services113 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75440 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.16
Promoting Interoperability57
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
18%49 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
76%131 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
52%33 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
69%1,071 patients3/55-star benchmark: 100%
e-Prescribing
100%749 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%1,069 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 17% · 63 patients
16%63 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
77%103 patients
Provide Patients Electronic Access to Their Health Information
70%5,121 patients3/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
1%173 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ELK VISION HOLDINGS LLC
Optometrist
886 E LENNON DR STE 102
EMORY, TX 75440
Rains County (903) 474-9090

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 Eric Ketchum's NPI number?

The NPI number for Eric Ketchum is 1275820649. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Eric Ketchum located?

Eric Ketchum practices at 886 E Lennon Dr Ste 102, Emory, TX 75440. The listed phone number is (903) 474-9090.

What is Eric Ketchum's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eric Ketchum enrolled in Medicare?

Yes. Eric Ketchum 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 Eric Ketchum 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 8 other insurers list Eric Ketchum 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 Eric Ketchum was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.