DR. RANDY OWEN MAUFFRAY M.D.
NPI 1285685511
Ophthalmology in San Antonio, TX
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
Specialties & Licenses 2
Other Identifiers 1
Accepted 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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Randy Mauffray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78215
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1629038989 (Texas)
- 44 clinicians in this Medicare group
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 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.
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.
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.
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.
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.
Which organization bills Medicare for Randy Mauffray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Mauffray reassigns Medicare benefits to San Antonio Eye Center, PA (San Antonio, TX). The 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 Randy Mauffray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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.
# Dr. Randy Owen Mauffray, M.D. · NPI 1285685511
Ophthalmology physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1285685511 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** Q6232 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 MCCULLOUGH AVE, San Antonio, TX 78215-1625
- **Phone:** (210) 226-6169 · **Fax:** (210) 226-8365
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** San Antonio Eye Center, PA (NPI 1407808173, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 369304601 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1285685511) · Data from the CMS NPPES public registry.