PETER A NIXON MD
NPI 1467438531
Ophthalmology in Austin, TX

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
76.11/100
CMS Quality Rating
801 W 38TH ST, SUITE 200, AUSTIN, TX 78705(512) 451-0103(512) 451-2741 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Peter A Nixon Md NPPES

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

PETER A NIXON MD (NPI 1467438531) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (M4400) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2000).

NPPES Registry Identity

NPI1467438531
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePETER A NIXONCredential: MD
Location Address801 W 38TH ST, SUITE 200Austin, TX 78705-1169
Mailing Address801 W 38th St, Suite 200Austin, TX 78705-1169 · (512) 451-0103 · Fax (512) 451-2741
Fax(512) 451-2741
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2000
Enumeration DateDecember 20, 2005
Last NPPES UpdateMay 4, 2017
NPI 1467438531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · M4400
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.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License M4400 (TX)
801 W 38TH ST, Austin, TX 78705

Other Identifiers 6

Other8G5374TX · Bcbs Tx
OtherP00340567TX · Railroad Medicare
Medicare PIN8G8612TX
Medicare PIN8G8613TX
Medicaid182972302TX
Medicaid182972301TX

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

Peter A Nixon 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 ID2062467590
PECOS Enrollment IDI20061030000359
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 21

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.

Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
5,564 services502 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.
3,789 services1,439 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,593 services584 patients
Exam of retinal blood vessels using a special camera after injection of a dye 92235
This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.
1,227 services898 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.
1,097 services969 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
921 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

76.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.39

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%171 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Neurological Surgery
801 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, SUITE 200
AUSTIN, TX 78705
Ophthalmology
801 W 38TH ST, STE 200
AUSTIN, TX 78705
Neurological Surgery
801 W 38TH ST, SUITE 400
AUSTIN, TX 78705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467438531, enumerated as an "individual" on December 20, 2005.

The provider is located at 801 W 38TH ST SUITE 200 AUSTIN, TX 78705 and the phone number is (512) 451-0103.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.