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DR. CHARLES ROBERT DALE JR. OD
NPI 1407586167
Optometrist in Blanco, TX

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
700 4TH ST, BLANCO, TX 78606(830) 554-9332(830) 554-9333 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Charles Robert Dale Jr. Od NPPES

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

DR. CHARLES ROBERT DALE JR. OD (NPI 1407586167) is an individual optometrist in Blanco, Texas, licensed in Texas (10604TG) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Marcos, and is a graduate of University Of Houston - College Of Optometry (2022).

NPPES Registry Identity

NPI1407586167
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHARLES ROBERT DALE JR.Credential: OD
Location Address700 4TH STBlanco, TX 78606-5569
Mailing Address2325 Cascada PkwySpring Branch, TX 78070-5527 · (253) 549-3074
Phone(830) 554-9332
Fax(830) 554-9333
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1407586167 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 · 10604TG
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.
700 4TH ST, Blanco, TX 78606
Open in Google Maps ↗

Secondary Practice Location 1

Location 12430 S Ih 35 Ste 106San Marcos, TX 78666-5912 · Phone (512) 353-1300

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Charles Robert Dale Jr. 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 ID3173903085
PECOS Enrollment IDI20220709000963
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

3

Medicare enrollment records show Charles Dale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rolling Hills Eye Care PLLC
Same address
Optometrist
700 4TH ST
Blanco, TX 78606
  • Reassigned Medicare billing, Texas enrollment
NPI 1720804933 (253) 549-3074
Balcones Eye Center, PA
33 mi
Ophthalmology
2430 S IH 35 STE 106
San Marcos, TX 78666
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1538270285 (512) 353-1300
Oculus Eyewear, LLC
33 mi
Durable Medical Equipment & Medical Supplies
2430 S IH 35 STE 110
San Marcos, TX 78666
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1619551272 (512) 396-1500

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 9

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.
69 services60 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.
67 services67 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.
51 services49 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.
48 services47 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.
36 services33 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.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78606 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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost71.18

Other Providers at the Same Location NPPES

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

ROLLING HILLS EYE CARE PLLC
Optometrist
700 4TH ST
BLANCO, TX 78606
Blanco County (253) 549-3074

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 Charles Dale's NPI number?

The NPI number for Charles Dale is 1407586167. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Charles Dale located?

Charles Dale practices at 700 4th St, Blanco, TX 78606. The listed phone number is (830) 554-9332.

What is Charles Dale's specialty?

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

Is Charles Dale enrolled in Medicare?

Yes. Charles Dale 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 Charles Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Dale reassigns Medicare benefits to 3 organizations: Rolling Hills Eye Care PLLC (Blanco, TX), Balcones Eye Center, PA (San Marcos, TX) and Oculus Eyewear, LLC (San Marcos, 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 Charles Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Dale 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 16 other insurers list Charles Dale 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 Charles Dale was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.