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DR. MICHAEL AGUILERA OD
NPI 1376192831
Optometrist in San Antonio, TX

Active since September 08, 2019PECOS EnrolledAccepts Medicare Assignment
5535 W LOOP 1604 N STE 104, SAN ANTONIO, TX 78253(210) 688-9272 Get Directions Write a Review

NPPES record last updated: September 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Aguilera Od NPPES

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

DR. MICHAEL AGUILERA OD (NPI 1376192831) is an individual optometrist in San Antonio, Texas, licensed in Texas (9869T) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2019).

NPPES Registry Identity

NPI1376192831
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL AGUILERACredential: OD
Location Address5535 W LOOP 1604 N STE 104San Antonio, TX 78253-7317
Mailing Address5427 Timber Post StSan Antonio, TX 78250-4206
Phone(210) 688-9272
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2019
Enumeration DateSeptember 8, 2019
✔ NPI 1376192831 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 · 9869T
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.
5535 W LOOP 1604 N STE 104, San Antonio, TX 78253
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Aguilera 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 ID3779907100
PECOS Enrollment IDI20200717003129
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

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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

DR. FELIPE DEJESUS DELEON JR. OD
Optometrist
5535 W LOOP 1604 N STE 104
SAN ANTONIO, TX 78253
Bexar County (210) 688-9272
MELINA MORENO
Optometrist
5535 W LOOP 1604 N STE 104
SAN ANTONIO, TX 78253
Bexar County (832) 775-5607

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 Michael Aguilera's NPI number?

The NPI number for Michael Aguilera is 1376192831. It was assigned to this individual provider in the NPPES registry on September 8, 2019.

Where is Michael Aguilera located?

Michael Aguilera practices at 5535 W Loop 1604 N Ste 104, San Antonio, TX 78253. The listed phone number is (210) 688-9272.

What is Michael Aguilera's specialty?

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

Is Michael Aguilera enrolled in Medicare?

Yes. Michael Aguilera 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 Michael Aguilera 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 10 other insurers list Michael Aguilera 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 Michael Aguilera was last updated on September 8, 2019. 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.