JONATHAN PIERCE WALGAMA M.D.
NPI 1477846871
Ophthalmology in Longview, TX

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment
74.05/100
CMS Quality Rating
3209 N 4TH ST, SUITE 100, LONGVIEW, TX 75605(903) 757-2020 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Pierce Walgama M.d. NPPES

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

JONATHAN PIERCE WALGAMA M.D. (NPI 1477846871) is an individual ophthalmology provider in Longview, Texas, licensed in Texas (Q3122) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1477846871
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJONATHAN PIERCE WALGAMACredential: M.D.
Location Address3209 N 4TH ST, SUITE 100Longview, TX 75605-5171
Mailing Address3209 4th St Ste 100Longview, TX 75605-5170 · (903) 757-2020 · Fax (903) 757-4665
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2011
Enumeration DateMay 18, 2011
Last NPPES UpdateApril 29, 2024
NPPES CertifiedJune 20, 2022
NPI 1477846871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · Q3122
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.
3209 N 4TH ST, Longview, TX 75605

Other Identifiers 1

Medicaid346191501TX

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

Jonathan Pierce Walgama M.d. 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 ID8123349842
PECOS Enrollment IDI20150608000087
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.

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.
684 services675 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.
369 services138 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.
362 services168 patients
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.
342 services258 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.
263 services49 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
263 services49 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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.

74.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality98
Improvement Activities40
Cost16.17

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
98%239 patients4/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
97%415 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
38%34 patients2/55-star benchmark: 87%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%438 patients
Diabetes: Eye Exam
100%393 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
97%34 patients
Documentation of Current Medications in the Medical Record
99%3,961 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%203 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,054 patients
Patients totalRate: 0% · 2,054 patients
0%2,054 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 6

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

Ophthalmology
3209 N 4TH ST, SUITE 100
LONGVIEW, TX 75605
Surgery
3209 N 4TH ST, SUITE 300
LONGVIEW, TX 75605
Ophthalmology
3209 N 4TH ST, SUITE 100
LONGVIEW, TX 75605
Ophthalmology
3209 N 4TH ST, SUITE 100
LONGVIEW, TX 75605
Ophthalmology
3209 N 4TH ST, SUITE 100
LONGVIEW, TX 75605
Surgery
3209 N 4TH ST, SUITE 300
LONGVIEW, TX 75605

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 Jonathan Walgama's NPI number?

The NPI number for Jonathan Walgama is 1477846871. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Jonathan Walgama located?

Jonathan Walgama practices at 3209 N 4th St Suite 100, Longview, TX 75605. The listed phone number is (903) 757-2020.

What is Jonathan Walgama's specialty?

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

Is Jonathan Walgama enrolled in Medicare?

Yes. Jonathan Walgama 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 Jonathan Walgama accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jonathan Walgama 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.

Is Jonathan Walgama affiliated with any hospitals?

According to CMS data, Jonathan Walgama is affiliated with Christus Good Shepherd Medical Center and Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Walgama was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.