DR. BERT JOHN BUBELA O.D.
NPI 1568458792
Optometrist in Little Elm, TX

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
1200 E ELDORADO PKWY, SUITE 100, LITTLE ELM, TX 75068(972) 292-0900(972) 292-0908 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bert John Bubela O.d. NPPES

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

DR. BERT JOHN BUBELA O.D. (NPI 1568458792) is an individual optometrist in Little Elm, Texas, licensed in Texas (5893TG) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2000).

NPPES Registry Identity

NPI1568458792
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BERT JOHN BUBELACredential: O.D.
Location Address1200 E ELDORADO PKWY, SUITE 100Little Elm, TX 75068-5582
Mailing Address1200 E Eldorado Pkwy, Suite 100Little Elm, TX 75068-5582 · (972) 292-0900 · Fax (972) 292-0908
Fax(972) 292-0908
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2000
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 23, 2015
NPI 1568458792 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 · 5893TG
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.
1200 E ELDORADO PKWY, Little Elm, TX 75068

Other Identifiers 3

Other81008QTX · Bluecrossblueshield
Medicare UPINU99662TX
Medicare ID-Type Unspecified8B8348TX

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. Bert John Bubela 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.

PECOS PAC ID7719961267
PECOS Enrollment IDI20040614001382
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 5

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
84 services60 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.
64 services64 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.
21 services19 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).
19 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75068 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%26 patients5/55-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 2

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

Optometrist
1200 E ELDORADO PKWY, SUITE 100
LITTLE ELM, TX 75068
Optometrist
1200 E ELDORADO PKWY, SUITE 100
LITTLE ELM, TX 75068

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 Bert Bubela's NPI number?

The NPI number for Bert Bubela is 1568458792. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Bert Bubela located?

Bert Bubela practices at 1200 E Eldorado Pkwy Suite 100, Little Elm, TX 75068. The listed phone number is (972) 292-0900.

What is Bert Bubela's specialty?

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

Is Bert Bubela enrolled in Medicare?

Yes. Bert Bubela 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 Bert Bubela accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 2 other insurers list Bert Bubela 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 Bert Bubela was last updated on February 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.