1. Home
  2. Directory
  3. Texas
  4. Beaumont
  5. Optometrist
  6. NPI Profile

GURPARTAP DHILLON OD
NPI 1366165904
Optometrist in Beaumont, TX

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
5910A MUELA CREEK DR, BEAUMONT, TX 77706(409) 899-9999(409) 892-6587 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gurpartap Dhillon Od NPPES

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

GURPARTAP DHILLON OD (NPI 1366165904) is an individual optometrist in Beaumont, Texas, licensed in Texas (10523T) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366165904
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGURPARTAP DHILLONCredential: OD
Location Address5910A MUELA CREEK DRBeaumont, TX 77706-1009
Mailing Address4215 N Major Dr Apt 1405Beaumont, TX 77713-9709 · (409) 273-6189
Phone(409) 899-9999
Fax(409) 892-6587
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1366165904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 10523T
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.
5910A MUELA CREEK DR, Beaumont, TX 77706
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Gurpartap Dhillon 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 ID6406229871
PECOS Enrollment IDI20230306001600
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 Gurpartap Dhillon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blount Kimball Medical Optometry PA
0.2 mi
Optometrist
4105 DOWLEN RD STE B
Beaumont, TX 77706
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1194897827 (409) 899-9999
Vidor Tso PA
9.2 mi
Optometrist
868 N MAIN ST
Vidor, TX 77662
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Vidor Tso P.A.
  • 5 clinicians in this Medicare group
NPI 1669331369 (409) 600-1200

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 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.
46 services43 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.
33 services33 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.
33 services21 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.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77706 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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.

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 Gurpartap Dhillon's NPI number?

The NPI number for Gurpartap Dhillon is 1366165904. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Gurpartap Dhillon located?

Gurpartap Dhillon practices at 5910A Muela Creek Dr, Beaumont, TX 77706. The listed phone number is (409) 899-9999.

What is Gurpartap Dhillon's specialty?

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

Is Gurpartap Dhillon enrolled in Medicare?

Yes. Gurpartap Dhillon 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 Gurpartap Dhillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gurpartap Dhillon reassigns Medicare benefits to 2 organizations: Blount Kimball Medical Optometry PA (Beaumont, TX) and Vidor Tso PA (Vidor, 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 Gurpartap Dhillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gurpartap Dhillon 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 13 other insurers list Gurpartap Dhillon 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 Gurpartap Dhillon was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.