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BITA ESMAELI M.D.
NPI 1306930482
Ophthalmology in Spring, TX

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
21009 KUYKENDAHL RD STE A, SPRING, TX 77379(832) 663-6566(832) 663-6550 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2024, May 8, 2019 (2 updates tracked since 2019).

About Bita Esmaeli M.d. NPPES

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

BITA ESMAELI M.D. (NPI 1306930482) is an individual ophthalmology provider in Spring, Texas, licensed in Texas (K6579) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1306930482
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameBITA ESMAELICredential: M.D.
Location Address21009 KUYKENDAHL RD STE ASpring, TX 77379-3310
Mailing Address21009 Kuykendahl Rd Ste ASpring, TX 77379-3310 · (832) 663-6566 · Fax (832) 663-6550
Phone(832) 663-6566
Fax(832) 663-6550
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1306930482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · K6579
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.
21009 KUYKENDAHL RD STE A, Spring, TX 77379
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Other Names 1

Other Name (5)Bita Esmaeli-azad M.d.

Other Identifiers 4

Medicaid46374701TX
Other8ZE031TX · Bcbs Record Id Under Texas Surgical
Other180034863TX · Rr Medicare
Other88832STX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.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

Bita Esmaeli 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 ID3173718053
PECOS Enrollment IDI20101117001144
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

2

Medicare enrollment records show Bita Esmaeli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Surgical Dermatology PA
0.1 mi
Dermatology
21009 KUYKENDAHL, SUITE A
Spring, TX 77379
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1124484456 (832) 643-8592
Mann Eye Center, PA
7.2 mi
Optometrist
6927 FM 1960 WEST, SUITE D
Houston, TX 77069
  • Reassigned Medicare billing, Texas enrollment
  • 51 clinicians in this Medicare group
NPI 1053719799 (281) 377-5257

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 4

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 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.
66 services61 patients
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.
44 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77379 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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

Other Providers at the Same Location NPPES 2

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

LIVING WELL FAMILY HEALTH CENTER
Family Medicine
21009 KUYKENDAHL RD STE A
SPRING, TX 77379
Harris County (346) 220-8585
JEFFERY C LAMBERT MD
Family Medicine
21009 KUYKENDAHL RD STE A
SPRING, TX 77379
Harris County (346) 220-8585

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 Bita Esmaeli's NPI number?

The NPI number for Bita Esmaeli is 1306930482. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Bita Esmaeli-Azad M.D..

Where is Bita Esmaeli located?

Bita Esmaeli practices at 21009 Kuykendahl Rd Ste A, Spring, TX 77379. The listed phone number is (832) 663-6566.

What is Bita Esmaeli's specialty?

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

Is Bita Esmaeli enrolled in Medicare?

Yes. Bita Esmaeli 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 Bita Esmaeli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bita Esmaeli reassigns Medicare benefits to 2 organizations: Texas Surgical Dermatology PA (Spring, TX) and Mann Eye Center, PA (Houston, TX). 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 Bita Esmaeli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bita Esmaeli accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Bita Esmaeli 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 Bita Esmaeli affiliated with any hospitals?

According to CMS data, Bita Esmaeli is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Bita Esmaeli was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.