DR. SEBASTIAN M MIRABAL O.D.
NPI 1285695148
Optometrist - Corneal and Contact Management in Flower Mound, TX

Q: What is Sebastian Mirabal's NPI number?

The NPI number for Sebastian Mirabal is 1285695148. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Sebastian Mirabal's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Sebastian Mirabal was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since March 30, 2006PECOS Enrolled

1025 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75022(972) 874-2407(972) 874-2733 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sebastian M Mirabal O.d. NPPES

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

DR. SEBASTIAN M MIRABAL O.D. (NPI 1285695148) is an individual corneal and contact management provider in Flower Mound, Texas, licensed in Texas (5878TG) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2000).

NPPES Registry Identity

NPI1285695148

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. SEBASTIAN M MIRABALCredential: O.D.

Location Address1025 LONG PRAIRIE RD, SUITE 100Flower Mound, TX 75022-4242

Mailing Address1025 Long Prairie Rd, Suite 100Flower Mound, TX 75022-4242 · (972) 874-2407

Phone(972) 874-2407

Fax(972) 874-2733

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2000

Enumeration DateMarch 30, 2006

Last NPPES UpdateJuly 22, 2009

✔ NPI 1285695148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

License✔ Licensed in TX · 5878TG

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Also ListedOptometristTaxonomy 152W00000X · License 5878TG (TX)

1025 LONG PRAIRIE RD, Flower Mound, TX 75022

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Other Identifiers 1

Medicare UPINU97201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Sebastian M Mirabal O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597678326

PECOS Enrollment IDI20031119000411

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 Reassignment

Medicare enrollment records show Sebastian Mirabal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebastian Mirabal O.D., P.A.

4.4 mi

Corneal and Contact Management

5201 BALMORAL LN
Flower Mound, TX 75028

Reassigned Medicare billing, Texas enrollment

NPI 1841327145 (972) 874-2407

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 14

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.

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

405 services89 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

368 services78 patients

Placement of amniotic membrane on eye surface for wound healing 65778

The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.

260 services58 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.

212 services88 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

204 services89 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.

133 services81 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).

107 services80 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.

96 services51 patients

Extended exam involving color vision testing 92283

An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.

86 services67 patients

Destruction of growth of eyelid margin, 1.0 cm or less 67850

This procedure involves the removal of a small growth on the edge of your eyelid. It's typically done when the growth causes discomfort or affects vision. The growth, measuring 1.0 cm or less, is carefully destroyed, aiding in your eye comfort and health.

72 services19 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

68 services22 patients

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.

30 services28 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.

25 services21 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.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75022 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.

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 Sebastian Mirabal's NPI number?

The NPI number for Sebastian Mirabal is 1285695148. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Sebastian Mirabal located?

Sebastian Mirabal practices at 1025 Long Prairie Rd Suite 100, Flower Mound, TX 75022. The listed phone number is (972) 874-2407.

What is Sebastian Mirabal's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Sebastian Mirabal enrolled in Medicare?

Yes. Sebastian Mirabal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sebastian Mirabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Mirabal reassigns Medicare benefits to Sebastian Mirabal O.D., P.A. (Flower Mound, 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 Sebastian Mirabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sebastian Mirabal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 10 other insurers list Sebastian Mirabal 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 Sebastian Mirabal was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.