1. Home
  2. Directory
  3. Texas
  4. Bryan
  5. Ophthalmology
  6. NPI Profile

DR. DAVID GABRIEL MORA-BOELLSTORFF MD
NPI 1285196006
Ophthalmology in Bryan, TX

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3387 UNIVERSITY DR E STE 412, BRYAN, TX 77802(713) 524-3434(713) 524-3220 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Jul 2, 2024, Jun 5, 2024 and 3 more (6 updates tracked since 2019).

About Dr. David Gabriel Mora-boellstorff Md NPPES

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

DR. DAVID GABRIEL MORA-BOELLSTORFF MD (NPI 1285196006) is an individual ophthalmology provider in Bryan, Texas, licensed in Texas (W7091) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Bellaire.

NPPES Registry Identity

NPI1285196006
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. DAVID GABRIEL MORA-BOELLSTORFFCredential: MD
Location Address3387 UNIVERSITY DR E STE 412Bryan, TX 77802-3470
Mailing AddressPo Box 737507Dallas, TX 75373-7507 · (713) 524-3434 · Fax (713) 524-3220
Phone(713) 524-3434
Fax(713) 524-3220
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 29, 20266 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1285196006 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 · W7091
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 W7091 (TX)
3387 UNIVERSITY DR E STE 412, Bryan, TX 77802
Open in Google Maps ↗

Secondary Practice Location 1

Location 14460 Bissonnet St Ste 200Bellaire, TX 77401-3234 · Phone (713) 524-3434 · Fax (713) 524-3220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Gabriel Mora-boellstorff 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 ID840610515
PECOS Enrollment IDI20240411000341, I20240411002275
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.

Medicare Billing Reassignments

3

Medicare enrollment records show David Mora-boellstorff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Consultants Of Houston PLLC
81 mi
Retina Specialist
400 BYPASS LN, STE 105
Livingston, TX 77351
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1619135647 (713) 524-3434
Cei Physicians Psc LLC
880 mi
Ophthalmology
580 S LOOP RD, SUITE 200
Edgewood, KY 41017
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Also billed through NPI 1942296298 (Ohio)
  • 41 clinicians in this Medicare group
NPI 1033108592 (859) 331-9000
University Of Cincinnati Physicians Company, LLC
888 mi
Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
NPI 1801840434 (513) 584-1000

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 11

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.
80 services77 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.
72 services65 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.
62 services61 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.
44 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77802 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 David Mora-boellstorff's NPI number?

The NPI number for David Mora-boellstorff is 1285196006. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is David Mora-boellstorff located?

David Mora-boellstorff practices at 3387 University Dr E Ste 412, Bryan, TX 77802. The listed phone number is (713) 524-3434.

What is David Mora-boellstorff's specialty?

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

Is David Mora-boellstorff enrolled in Medicare?

Yes. David Mora-boellstorff 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.

Which organizations bill Medicare for David Mora-boellstorff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mora-boellstorff reassigns Medicare benefits to 3 organizations: Retina Consultants Of Houston PLLC (Livingston, TX), Cei Physicians Psc LLC (Edgewood, KY) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 David Mora-boellstorff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Mora-boellstorff accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, CareSource, MedMutual and Molina Healthcare and 4 other insurers list David Mora-boellstorff 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 David Mora-boellstorff affiliated with any hospitals?

According to CMS data, David Mora-boellstorff is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for David Mora-boellstorff was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.