AMANDA POLACCO OD
NPI 1316464134
Optometrist in Houston, TX

Active since August 23, 2017PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204(713) 743-2020(713) 743-0963 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2022, Dec 1, 2021, Aug 23, 2017 (3 updates tracked since 2017).

About Amanda Polacco Od NPPES

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

AMANDA POLACCO OD (NPI 1316464134) is an individual optometrist in Houston, Texas, licensed in Texas (10375) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1316464134
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameAMANDA POLACCOCredential: OD
Location Address4401 MARTIN LUTHER KING BLVDHouston, TX 77204-2020
Mailing Address4401 Martin Luther King Blvd.Houston, TX 77204-2020 · (713) 743-2020 · Fax (713) 743-0963
Fax(713) 743-0963
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 23, 2017
Last NPPES UpdateMay 12, 20223 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
NPI 1316464134 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 · 10375 Licensed in NY · 008677
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.

4401 MARTIN LUTHER KING BLVD, Houston, TX 77204

Secondary Practice Location 1

Location 133 W 42nd StNew York, NY 10036-8005 · Phone (212) 938-4000

Other Identifiers 2

Medicaid00244528NY
Medicaid429762401TX

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

Amanda Polacco Od 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 ID5092081984
PECOS Enrollment IDI20231129000969
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 5

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
50 services39 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.
37 services37 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.
31 services31 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.
29 services25 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.
23 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77204 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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

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.

Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204
Optometrist
4401 MARTIN LUTHER KING BLVD
HOUSTON, TX 77204

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 Amanda Polacco's NPI number?

The NPI number for Amanda Polacco is 1316464134. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Amanda Polacco located?

Amanda Polacco practices at 4401 Martin Luther King Blvd, Houston, TX 77204. The listed phone number is (713) 743-2020.

What is Amanda Polacco's specialty?

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

Is Amanda Polacco enrolled in Medicare?

Yes. Amanda Polacco 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 Amanda Polacco accept?

Health plans from Blue Cross and Blue Shield of Montana, Community Health Choice, Mountain Health CO-OP and Providence Health Plan list Amanda Polacco 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 Amanda Polacco affiliated with any hospitals?

According to CMS data, Amanda Polacco is affiliated with Billings Clinic and St Vincent Healthcare.

When was this NPI record last updated?

The NPPES record for Amanda Polacco was last updated on May 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.