DR. RANDY OWEN MAUFFRAY M.D.
NPI 1285685511
Ophthalmology in San Antonio, TX

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
70.67/100
CMS Quality Rating
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215(210) 226-6169(210) 226-8365 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017, Apr 24, 2017 and 1 more (4 updates tracked since 2015).

About Dr. Randy Owen Mauffray M.d. NPPES

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

DR. RANDY OWEN MAUFFRAY M.D. (NPI 1285685511) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (Q6232) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1993).

NPPES Registry Identity

NPI1285685511
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RANDY OWEN MAUFFRAYCredential: M.D.
Location Address800 MCCULLOUGH AVESan Antonio, TX 78215-1625
Mailing Address800 Mccullough AvenueSan Antonio, TX 78215 · (210) 226-6169 · Fax (210) 226-8365
Fax(210) 226-8365
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1993
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1285685511 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 · Q6232
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 · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License Q6232 (TX)
800 MCCULLOUGH AVE, San Antonio, TX 78215

Other Identifiers 1

Medicaid369304601TX

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

Dr. Randy Owen Mauffray M.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 ID1658665203
PECOS Enrollment IDI20160804002484
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 8

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 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.
281 services208 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
165 services140 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
62 services61 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
32 services12 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
25 services25 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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.

70.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.36
Promoting Interoperability0
Improvement Activities40
Cost97.23

Other Providers at the Same Location NPPES 20

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

Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Optometrist
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Optometrist
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Registered Nurse
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215

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 Randy Mauffray's NPI number?

The NPI number for Randy Mauffray is 1285685511. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Randy Mauffray located?

Randy Mauffray practices at 800 Mccullough Ave, San Antonio, TX 78215. The listed phone number is (210) 226-6169.

What is Randy Mauffray's specialty?

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

Is Randy Mauffray enrolled in Medicare?

Yes. Randy Mauffray 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 Randy Mauffray 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 13 other insurers list Randy Mauffray 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 Randy Mauffray was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.