ARTURO ESTEBAN BETANCOURT MD
NPI 1457356271
Ophthalmology in Glen Burnie, MD

Active since June 17, 2005PECOS Enrolled
100/100
CMS Quality Rating
200 HOSPITAL DR, STE 600, GLEN BURNIE, MD 21061(410) 766-3937(410) 761-4386 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arturo Esteban Betancourt Md NPPES

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

ARTURO ESTEBAN BETANCOURT MD (NPI 1457356271) is an individual ophthalmology provider in Glen Burnie, Maryland, licensed in Maryland (D0036550) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457356271
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameARTURO ESTEBAN BETANCOURTCredential: MD
Location Address200 HOSPITAL DR, STE 600Glen Burnie, MD 21061-5865
Mailing Address200 Hospital Dr, Ste 600Glen Burnie, MD 21061-5865 · (410) 766-3937 · Fax (410) 761-4386
Fax(410) 761-4386
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1457356271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0036550
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.
200 HOSPITAL DR, Glen Burnie, MD 21061

Other Identifiers 1

Medicaid284681100MD

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 (PECOS)

Arturo Esteban Betancourt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.
1,674 services1,646 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
467 services272 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
405 services229 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.
278 services191 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.
224 services216 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.
216 services216 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21061 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims24 services$48.23 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims24 services$57.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
200 HOSPITAL DR, SUITE 300
GLEN BURNIE, MD 21061
Physical Therapy Assistant
200 HOSPITAL DR, STE. 400
GLEN BURNIE, MD 21061
Durable Medical Equipment & Medical Supplies
200 HOSPITAL DR
GLEN BURNIE, MD 21061
Physical Therapy Assistant
200 HOSPITAL DR, STE 506A
GLEN BURNIE, MD 21061
Orthopaedic Surgery
200 HOSPITAL DR, 2ND FLOOR
GLEN BURNIE, MD 21061
Physical Therapist
200 HOSPITAL DR, SUITE 506
GLEN BURNIE, MD 21061
Orthopaedic Surgery
200 HOSPITAL DR, 2ND FLOOR
GLEN BURNIE, MD 21061
Pharmacy (Community/Retail Pharmacy)
200 HOSPITAL DR, STE 107
GLEN BURNIE, MD 21061

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 Arturo Betancourt's NPI number?

The NPI number for Arturo Betancourt is 1457356271. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Arturo Betancourt located?

Arturo Betancourt practices at 200 Hospital Dr Ste 600, Glen Burnie, MD 21061. The listed phone number is (410) 766-3937.

What is Arturo Betancourt's specialty?

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

Is Arturo Betancourt enrolled in Medicare?

Yes. Arturo Betancourt is registered in the Medicare PECOS enrollment system.

What insurance does Arturo Betancourt accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Arturo Betancourt 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 Arturo Betancourt was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.