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NATHANIEL D ROBINSON OD
NPI 1285623801
Optometrist in Lufkin, TX

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment
81.17/100
CMS Quality Rating
2801 S JOHN REDDITT DR, LUFKIN, TX 75904(936) 637-2020(936) 634-4911 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel D Robinson Od NPPES

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

NATHANIEL D ROBINSON OD (NPI 1285623801) is an individual optometrist in Lufkin, Texas, licensed in Texas (4542TG) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1285623801
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNATHANIEL D ROBINSONCredential: OD
Location Address2801 S JOHN REDDITT DRLufkin, TX 75904-5666
Mailing Address2801 S John Redditt DrLufkin, TX 75904-5666 · (936) 637-2020 · Fax (936) 634-4911
Phone(936) 637-2020
Fax(936) 634-4911
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateOctober 17, 2005
Last NPPES UpdateMay 20, 2008
✔ NPI 1285623801 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 · 4542TG
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.
2801 S JOHN REDDITT DR, Lufkin, TX 75904
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Other Identifiers 5

Medicare ID-Type Unspecified81054ETX
Other80171QTX · Bcbs
Other75-2127920TX · Tax Id
Medicaid093047102TX
Medicare UPINU30753

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

Nathaniel D Robinson 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 ID5890808448
PECOS Enrollment IDI20110421000802
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.
854 services808 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
258 services254 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.
142 services121 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
128 services73 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.
74 services74 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.
69 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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.

81.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.34
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%53 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%29 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims18 services$43.95 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims21 services$25.27 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims23 services$39.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

ROBERT W ANDERSON JR. OD
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
ANGELINA OPTOMETRIC ASSOCIATES
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
KEITH B HANCOCK OD
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
DONALD B BOGUE OD
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
ARON HUGHES O.D.
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
WILLIAM W WAGNON MD PA
Ophthalmology
2801 S JOHN REDDITT DR, SUITE B
LUFKIN, TX 75904
Angelina County (936) 632-6111
DR. DANIEL JEFFREY HOOTON OD
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020
DR. SHELBY ROBINSON OD
Optometrist
2801 S JOHN REDDITT DR
LUFKIN, TX 75904
Angelina County (936) 637-2020

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 Nathaniel Robinson's NPI number?

The NPI number for Nathaniel Robinson is 1285623801. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Nathaniel Robinson located?

Nathaniel Robinson practices at 2801 S John Redditt Dr, Lufkin, TX 75904. The listed phone number is (936) 637-2020.

What is Nathaniel Robinson's specialty?

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

Is Nathaniel Robinson enrolled in Medicare?

Yes. Nathaniel Robinson 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 Nathaniel Robinson 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 7 other insurers list Nathaniel Robinson 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 Nathaniel Robinson was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.