TOM HONG-CHIH SUN MD
NPI 1306803283
Ophthalmology in Tomball, TX

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.42/100
CMS Quality Rating
455 SCHOOL ST, 47, TOMBALL, TX 77375(281) 351-7483(281) 351-9771 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tom Hong-chih Sun Md NPPES

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

TOM HONG-CHIH SUN MD (NPI 1306803283) is an individual ophthalmology provider in Tomball, Texas, licensed in Texas (J6258) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1990).

NPPES Registry Identity

NPI1306803283
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTOM HONG-CHIH SUNCredential: MD
Location Address455 SCHOOL ST, 47Tomball, TX 77375-4595
Mailing Address2855 Gramercy St Ste 400Houston, TX 77025-1697 · (713) 668-6828
Fax(281) 351-9771
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1990
Enumeration DateApril 26, 2006
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1306803283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · J6258
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.
455 SCHOOL ST, Tomball, TX 77375

Other Identifiers 1

Medicaid113484306TX

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

Tom Hong-chih Sun Md 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 ID3678562782
PECOS Enrollment IDI20100323000373
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 13

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.
1,574 services1,508 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.
595 services470 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.
487 services445 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.
436 services419 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
389 services258 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).
378 services369 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

93.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.14
Improvement Activities40
Cost81.47

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.

Internal Medicine
455 SCHOOL ST, SUITE 27
TOMBALL, TX 77375
Pediatrics
455 SCHOOL ST, STE 26
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST, SUITE 44
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Occupational Therapy Assistant
455 SCHOOL ST
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Orthopaedic Surgery
455 SCHOOL ST, SUITE 24
TOMBALL, TX 77375
Social Worker (Clinical)
455 SCHOOL ST, SUITE 14
TOMBALL, TX 77375

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 Tom Sun's NPI number?

The NPI number for Tom Sun is 1306803283. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Tom Sun located?

Tom Sun practices at 455 School St 47, Tomball, TX 77375. The listed phone number is (281) 351-7483.

What is Tom Sun's specialty?

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

Is Tom Sun enrolled in Medicare?

Yes. Tom Sun 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 Tom Sun accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Tom Sun 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.

Is Tom Sun affiliated with any hospitals?

According to CMS data, Tom Sun is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Tom Sun was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.