THEODORE J. FELTON OD
NPI 1477886018
Optometrist in Marble Falls, TX

Active since September 15, 2009PECOS EnrolledAccepts Medicare Assignment
95.44/100
CMS Quality Rating
204 GATEWAY N, SUITE A, MARBLE FALLS, TX 78654(830) 693-5868(830) 798-8017 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theodore J. Felton Od NPPES

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

THEODORE J. FELTON OD (NPI 1477886018) is an individual optometrist in Marble Falls, Texas, licensed in Texas (03781TG) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1980).

NPPES Registry Identity

NPI1477886018
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHEODORE J. FELTONCredential: OD
Location Address204 GATEWAY N, SUITE AMarble Falls, TX 78654-6361
Mailing Address204 Gateway N, Suite AMarble Falls, TX 78654-6361 · (830) 693-5868 · Fax (830) 798-8017
Fax(830) 798-8017
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1980
Enumeration DateSeptember 15, 2009
Last NPPES UpdateMay 14, 2012
✔ NPI 1477886018 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 · 03781TG
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.
204 GATEWAY N, Marble Falls, TX 78654

Other Identifiers 3

Medicare PIN8L20364TX
Medicaid209901201TX
Medicare PINTXB148760TX

Accepted 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

Theodore J. Felton 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 ID143367979
PECOS Enrollment IDI20091027000325
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 Reassignment

Medicare enrollment records show Theodore Felton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
204 GATEWAY N, SUITE A
Marble Falls, TX 78654
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group

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

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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78654 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.

95.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost84.8

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.

Clinic/Center (Ambulatory Surgical)
204 GATEWAY N
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Ophthalmology
204 GATEWAY N, SUITE A
MARBLE FALLS, TX 78654
Eyewear Supplier
204 GATEWAY N, SUITE C
MARBLE FALLS, TX 78654
Eyewear Supplier
204 GATEWAY N, SUITE C
MARBLE FALLS, TX 78654

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 Theodore Felton's NPI number?

The NPI number for Theodore Felton is 1477886018. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Theodore Felton located?

Theodore Felton practices at 204 Gateway N Suite A, Marble Falls, TX 78654. The listed phone number is (830) 693-5868.

What is Theodore Felton's specialty?

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

Is Theodore Felton enrolled in Medicare?

Yes. Theodore Felton 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 organization bills Medicare for Theodore Felton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Felton reassigns Medicare benefits to Mary Kelly Green MD PLLC (Marble Falls, TX). The 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 Theodore Felton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Felton accept?

Health plans from UnitedHealthcare list Theodore Felton 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 Theodore Felton was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.