Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN KERSEY FISH MD
NPI 1568411593
Ophthalmology in Shenandoah, TX

Active since May 08, 2006PECOS Enrolled
93.42/100
CMS Quality Rating
1699 RESEARCH FOREST DR STE 150, SHENANDOAH, TX 77380(281) 363-2155 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Kersey Fish Md NPPES

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

SUSAN KERSEY FISH MD (NPI 1568411593) is an individual ophthalmology provider in Shenandoah, Texas, licensed in Texas (M1092) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (2001).

NPPES Registry Identity

NPI1568411593
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSUSAN KERSEY FISHCredential: MD
Location Address1699 RESEARCH FOREST DR STE 150Shenandoah, TX 77380-3685
Mailing Address2855 Gramercy St Ste 400Houston, TX 77025-1697 · (713) 668-6828
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2001
Enumeration DateMay 8, 2006
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1568411593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · M1092
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.
1699 RESEARCH FOREST DR STE 150, Shenandoah, TX 77380

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

Susan Kersey Fish Md 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 ID4688618358
PECOS Enrollment IDI20050614000342
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 Susan Fish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
2855 GRAMERCY ST
Houston, TX 77025
  • Reassigned Medicare billing, Texas enrollment
  • 44 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 14

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.
1,890 services1,799 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
900 services880 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.
721 services692 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
596 services448 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
246 services245 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.
215 services127 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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.

93.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.14
Improvement Activities40
Cost81.47

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
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380
Optometrist
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380
Ophthalmology
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380
Ophthalmology
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380
Ophthalmology
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380
Optometrist
1699 RESEARCH FOREST DR STE 150
SHENANDOAH, TX 77380

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 Susan Fish's NPI number?

The NPI number for Susan Fish is 1568411593. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Susan Fish located?

Susan Fish practices at 1699 Research Forest Dr Ste 150, Shenandoah, TX 77380. The listed phone number is (281) 363-2155.

What is Susan Fish's specialty?

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

Is Susan Fish enrolled in Medicare?

Yes. Susan Fish 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 Susan Fish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Fish reassigns Medicare benefits to Hea Clinic PA (Houston, 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 Susan Fish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Fish accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Susan Fish 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 Susan Fish was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.