DR. RAYMOND THOMAS CARNEGLIA III O.D.
NPI 1538616743
Optometrist in Austin, TX
About Dr. Raymond Thomas Carneglia Iii O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAYMOND THOMAS CARNEGLIA III O.D. (NPI 1538616743) is an individual optometrist in Austin, Texas, licensed in Texas (9110T) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Raymond Thomas Carneglia Iii O.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.
Medicare Billing Reassignment
Medicare enrollment records show Raymond Carneglia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78759
- Reassigned Medicare billing, Texas enrollment
- 12 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78759 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Raymond Carneglia's NPI number?
The NPI number for Raymond Carneglia is 1538616743. It was assigned to this individual provider in the NPPES registry on September 6, 2016.
Where is Raymond Carneglia located?
Raymond Carneglia practices at 10401 Research Blvd, Austin, TX 78759. The listed phone number is (512) 345-2000.
What is Raymond Carneglia's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Raymond Carneglia enrolled in Medicare?
Yes. Raymond Carneglia 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 Raymond Carneglia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Carneglia reassigns Medicare benefits to Great Hills Eye Care, PC (Austin, 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 Raymond Carneglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raymond Carneglia accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Raymond Carneglia 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 Raymond Carneglia was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Raymond Thomas Carneglia III, O.D. · NPI 1538616743
Optometrist provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since September 6, 2016.
## Identity
- **NPI:** 1538616743 (Entity type: Individual)
- **Enumerated:** September 6, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 9110T (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 10401 RESEARCH BLVD, Austin, TX 78759-5712
- **Phone:** (512) 345-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Great Hills Eye Care, PC (NPI 1750634200, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 6, 2016
- **Other identifiers:** Other 9110T (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1538616743) · Data from the CMS NPPES public registry.