DR. MARLENE ELENA MORALES MD
NPI 1336349117
Ophthalmology in Tomball, TX

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
93.42/100
CMS Quality Rating
455 SCHOOL ST, 47, TOMBALL, TX 77375(281) 351-7483 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marlene Elena Morales Md NPPES

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

DR. MARLENE ELENA MORALES MD (NPI 1336349117) is an individual ophthalmology provider in Tomball, Texas, licensed in Texas (N5885) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336349117
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARLENE ELENA MORALESCredential: MD
Location Address455 SCHOOL ST, 47Tomball, TX 77375-4595
Mailing Address2855 Gramercy St # 400Houston, TX 77025-1697
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 20, 2007
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
NPI 1336349117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · N5885
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

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. Marlene Elena Morales 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 ID4385778349
PECOS Enrollment IDI20100813000179
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 16

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 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.
413 services260 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.
202 services193 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
152 services145 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
127 services122 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
118 services118 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.
69 services62 patients

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 Marlene Morales's NPI number?

The NPI number for Marlene Morales is 1336349117. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Marlene Morales located?

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

What is Marlene Morales's specialty?

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

Is Marlene Morales enrolled in Medicare?

Yes. Marlene Morales 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 Marlene Morales accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Marlene Morales 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 Marlene Morales was last updated on March 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.