DR. ANDREW DAVID HSIA MD
NPI 1316034259
Ophthalmology - Retina Specialist in Montgomery, AL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.16/100
CMS Quality Rating
242 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117(334) 384-1141(334) 472-8065 Get Directions Write a Review

NPPES record last updated: June 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2020, Dec 31, 2017, Aug 22, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Andrew David Hsia Md NPPES

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

DR. ANDREW DAVID HSIA MD (NPI 1316034259) is an individual retina specialist in Montgomery, Alabama, licensed in Alabama (30073) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2006).

NPPES Registry Identity

NPI1316034259
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ANDREW DAVID HSIACredential: MD
Location Address242 WINTON BLOUNT LOOPMontgomery, AL 36117-3501
Mailing Address242 Winton Blount LoopMontgomery, AL 36117-3501 · (334) 384-1141 · Fax (334) 472-8065
Fax(334) 472-8065
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2006
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 7, 20204 updates tracked since enumeration
NPPES CertifiedJune 7, 2020
NPI 1316034259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in AL · 30073
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME 115584 (FL), 068033 (GA), MD30073 (AL)
242 WINTON BLOUNT LOOP, Montgomery, AL 36117

Other Identifiers 2

Medicaid008643600FL
Medicaid183838AL

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

Dr. Andrew David Hsia 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 ID8729103601
PECOS Enrollment IDI20160831000951
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
18,600 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.
1,002 services347 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
696 services165 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
428 services42 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
287 services71 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.
244 services185 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

94.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.33
Improvement Activities40

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery
100%22 patients5/55-star benchmark: 100%
Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery
100%20 patients5/55-star benchmark: 99%
Dementia: Education and Support of Caregivers for Patients with Dementia
100%24 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%45 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%32 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Ophthalmology (Retina Specialist)
242 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Physical Therapist
242 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117
Physical Medicine & Rehabilitation (Sports Medicine)
242 WINTON BLOUNT LOOP
MONTGOMERY, AL 36117

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 Andrew Hsia's NPI number?

The NPI number for Andrew Hsia is 1316034259. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Andrew Hsia located?

Andrew Hsia practices at 242 Winton Blount Loop, Montgomery, AL 36117. The listed phone number is (334) 384-1141.

What is Andrew Hsia's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Andrew Hsia enrolled in Medicare?

Yes. Andrew Hsia 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 Andrew Hsia accept?

Health plans from Blue Cross and Blue Shield of Alabama list Andrew Hsia 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 Andrew Hsia was last updated on June 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.