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DR. LAUREN GOLDSMITH WINDHAM O.D.
NPI 1285946459
Optometrist in Mckinney, TX

Active since July 05, 2010PECOS EnrolledAccepts Medicare Assignment
68.44/100
CMS Quality Rating
1129 WEDGE HILL RD, MCKINNEY, TX 75070(540) 761-1003 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lauren Goldsmith Windham O.d. NPPES

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

DR. LAUREN GOLDSMITH WINDHAM O.D. (NPI 1285946459) is an individual optometrist in Mckinney, Texas, licensed in Texas (8590TG) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2010).

NPPES Registry Identity

NPI1285946459
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. LAUREN GOLDSMITH WINDHAMCredential: O.D.
Location Address1129 WEDGE HILL RDMckinney, TX 75070-5233
Mailing Address1546 Stacy Rd Ste 100Allen, TX 75002-8721 · (214) 383-5400 · Fax (214) 383-5203
Phone(540) 761-1003
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2010
Enumeration DateJuly 5, 2010
Last NPPES UpdateApril 7, 2016
✔ NPI 1285946459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 8590TG✔ Licensed in NC · 2331✔ Licensed in VA · 0618002274
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.
1129 WEDGE HILL RD, Mckinney, TX 75070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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. Lauren Goldsmith Windham O.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 ID6002097672
PECOS Enrollment IDI20110302000497
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 Lauren Windham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Eye Specialists PLLC
595 mi
Ophthalmology
28 WHITE BRIDGE ROAD, SUITE 208
Nashville, TN 37205
  • Reassigned Medicare billing, Tennessee enrollment
  • 43 clinicians in this Medicare group
NPI 1003437138 (615) 327-2001
Chattanooga Vision Center, Plc
669 mi
Ophthalmology
2158 NORTHGATE PARK LN, SUITE 302
Chattanooga, TN 37415
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1982679296 (423) 870-4900
Eye Care & Surgery PC
Ophthalmology
1960 ELECTRIC RD
Roanoke, VA 24018
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1962400168 (540) 772-7171

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 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 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.
74 services64 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.
56 services56 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.
55 services52 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.
26 services24 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.
22 services22 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).
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 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.

68.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.66
Promoting Interoperability56
Improvement Activities40
Cost55.82

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 Lauren Windham's NPI number?

The NPI number for Lauren Windham is 1285946459. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Lauren Windham located?

Lauren Windham practices at 1129 Wedge Hill Rd, Mckinney, TX 75070. The listed phone number is (540) 761-1003.

What is Lauren Windham's specialty?

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

Is Lauren Windham enrolled in Medicare?

Yes. Lauren Windham 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 Lauren Windham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Windham reassigns Medicare benefits to 3 organizations: Southeast Eye Specialists PLLC (Nashville, TN), Chattanooga Vision Center, Plc (Chattanooga, TN) and Eye Care & Surgery PC (Roanoke, VA). 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 Lauren Windham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Windham accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Lauren Windham 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 Lauren Windham was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.