DR. MARC R SANDERS M.D., P.A.
NPI 1508855529
Ophthalmology in Houston, TX

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
3405 EDLOE ST, SUITE 300, HOUSTON, TX 77027(713) 797-1500(713) 797-1150 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marc R Sanders M.d., P.a. NPPES

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

DR. MARC R SANDERS M.D., P.A. (NPI 1508855529) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (J3593) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1989).

NPPES Registry Identity

NPI1508855529
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARC R SANDERSCredential: M.D., P.A.
Location Address3405 EDLOE ST, SUITE 300Houston, TX 77027-6520
Mailing Address3405 Edloe St, Suite 300Houston, TX 77027-6520 · (713) 797-1500 · Fax (713) 797-1150
Fax(713) 797-1150
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1989
Enumeration DateOctober 21, 2005
Last NPPES UpdateJune 25, 2010
NPI 1508855529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · J3593
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.

3405 EDLOE ST, Houston, TX 77027

Other Identifiers 6

Other180034605TX · Medicare Railroad
Other84920YTX · Blue Cross Blue Shield
Medicare UPINE94395TX
Medicare PIN8031K0TX
Medicaid133642202TX
Medicare NSC4189260001TX

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

Dr. Marc R Sanders M.d., P.a. 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 ID648216119
PECOS Enrollment IDI20101104000265
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 15

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.

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.
314 services204 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.
270 services162 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
144 services97 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.
107 services94 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.
102 services96 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.
79 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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.

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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.91
Promoting Interoperability100
Improvement Activities40
Cost95.24

Reported Quality Measures

Advance Care Plan
100%138 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%44 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%483 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 93% · 143 patients
93%143 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%20 patients
Provide Patients Electronic Access to Their Health Information
94%682 patients4/55-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 4

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

Optometrist
3405 EDLOE ST, SUITE 300
HOUSTON, TX 77027
Chiropractor
3405 EDLOE ST, SUITE 210
HOUSTON, TX 77027
Chiropractor
3405 EDLOE ST, SUITE 210
HOUSTON, TX 77027
Ophthalmology
3405 EDLOE ST, SUITE 300
HOUSTON, TX 77027

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 Marc Sanders's NPI number?

The NPI number for Marc Sanders is 1508855529. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Marc Sanders located?

Marc Sanders practices at 3405 Edloe St Suite 300, Houston, TX 77027. The listed phone number is (713) 797-1500.

What is Marc Sanders's specialty?

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

Is Marc Sanders enrolled in Medicare?

Yes. Marc Sanders 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 Marc Sanders accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Marc Sanders 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 Marc Sanders was last updated on June 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.