MR. BRANDON MODERHACK OD
NPI 1487049003
Optometrist in Baytown, TX

Q: What is Brandon Moderhack's NPI number?

The NPI number for Brandon Moderhack is 1487049003. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Brandon Moderhack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Moderhack was last updated on March 29, 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.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

301 W TEXAS AVE, BAYTOWN, TX 77520(281) 427-7374(281) 427-6052 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Jul 10, 2018 (2 updates tracked since 2018).

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About Mr. Brandon Moderhack Od NPPES

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

MR. BRANDON MODERHACK OD (NPI 1487049003) is an individual optometrist in Baytown, Texas, licensed in Texas (8490T) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mont Belvieu, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487049003

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. BRANDON MODERHACKCredential: OD

Location Address301 W TEXAS AVEBaytown, TX 77520

Mailing Address301 W Texas AveBaytown, TX 77520-7768 · (281) 427-7374 · Fax (281) 427-6052

Phone(281) 427-7374

Fax(281) 427-6052

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 31, 2015

Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1487049003 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 · 8490T

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.

301 W TEXAS AVE, Baytown, TX 77520

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Secondary Practice Location 1

Location 113550 Lakes Of Champions Blvd Ste BMont Belvieu, TX 77523-2900 · Phone (832) 981-7276

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brandon Moderhack 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 ID6800114141

PECOS Enrollment IDI20150416000571

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

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 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.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77520 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 5

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

CHRIS L WARFORD OD PA

Eyewear Supplier