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MS. CLAIRE H CHANG MD PA
NPI 1568423200
Ophthalmology in Houston, TX

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
76.57/100
CMS Quality Rating
5115 FANNIN ST STE 1000, HOUSTON, TX 77004(713) 580-2500 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Claire H Chang Md Pa NPPES

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

MS. CLAIRE H CHANG MD PA (NPI 1568423200) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (L0072) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1995).

NPPES Registry Identity

NPI1568423200
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMS. CLAIRE H CHANGCredential: MD PA
Location Address5115 FANNIN ST STE 1000Houston, TX 77004-5899
Mailing AddressPo Box 4346, Dept 368Houston, TX 77210-4346 · (713) 580-2500 · Fax (713) 580-2597
Phone(713) 580-2500
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1995
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1568423200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · L0072
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.
5115 FANNIN ST STE 1000, Houston, TX 77004
Open in Google Maps ↗

Other Identifiers 7

Other0069GXTX · Blue Cross Blue Shield
Medicaid144535503TX
Medicaid144535504TX
Other180042438TX · Railroad Medicare
OtherDD3155TX · Railroad Medicare
OtherP00220702TX · Railroad Medicare
Medicaid174671101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Wyoming 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

Ms. Claire H Chang Md Pa 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 ID1254388051
PECOS Enrollment IDI20050407000260
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 10

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 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.
193 services113 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
146 services138 patients
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.
97 services73 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.
86 services74 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).
83 services64 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.
63 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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.

76.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.23
Promoting Interoperability77
Improvement Activities40
Cost86.85

Other Providers at the Same Location NPPES 3

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

SHAIL GAJJAR
Optometrist
5115 FANNIN ST STE 1000
HOUSTON, TX 77004
Harris County (713) 580-2500
TATIANA NOROOZIAN OD
Optometrist
5115 FANNIN ST STE 1000
HOUSTON, TX 77004
Harris County (713) 580-2500
MANN EYE CENTER, PA
Clinic/Center
5115 FANNIN ST STE 1000
HOUSTON, TX 77004
Harris County (713) 580-2500

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 Claire Chang's NPI number?

The NPI number for Claire Chang is 1568423200. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Claire Chang located?

Claire Chang practices at 5115 Fannin St Ste 1000, Houston, TX 77004. The listed phone number is (713) 580-2500.

What is Claire Chang's specialty?

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

Is Claire Chang enrolled in Medicare?

Yes. Claire Chang 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 Claire Chang 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 Insurance Company and UnitedHealthcare and 1 other insurer list Claire Chang 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 Claire Chang was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.