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DR. PAUL G. MIDDLETON OD
NPI 1578709762
Optometrist in Denton, TX

Active since December 18, 2008PECOS EnrolledAccepts Medicare Assignment
2210 SAN JACINTO BLVD, DENTON, TX 76205(940) 382-8000(940) 383-2608 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul G. Middleton Od NPPES

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

DR. PAUL G. MIDDLETON OD (NPI 1578709762) is an individual optometrist in Denton, Texas, licensed in Texas (05259T) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1996).

NPPES Registry Identity

NPI1578709762
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL G. MIDDLETONCredential: OD
Location Address2210 SAN JACINTO BLVDDenton, TX 76205-7527
Mailing Address2210 San Jacinto Blvd, Suite 1Denton, TX 76205-7527 · (940) 382-8000 · Fax (940) 383-2608
Phone(940) 382-8000
Fax(940) 383-2608
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1996
Enumeration DateDecember 18, 2008
Last NPPES UpdateJanuary 20, 2012
✔ NPI 1578709762 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 · 05259T
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.
2210 SAN JACINTO BLVD, Denton, TX 76205
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Other Identifiers 1

Other05259TTX · Texas Optometry Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Paul G. Middleton Od 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 ID2961662101
PECOS Enrollment IDI20120327000301
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 3

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 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.
22 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76205 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.

Other Providers at the Same Location NPPES 9

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

RODGERS L. ECKHART MD
Ophthalmology
2210 SAN JACINTO BLVD, SUITE 1
DENTON, TX 76205
Denton County (940) 382-8000
TEXAS OPTIMUM HEALTHCARE LLC
Family Medicine
2210 SAN JACINTO BLVD, SUITE 4
DENTON, TX 76205
Denton County (940) 387-3837
DR. MURUGESAN M SIDDHAPPAN MD
Family Medicine
2210 SAN JACINTO BLVD, STE 4
DENTON, TX 76205
Denton County (940) 387-3837
MR. LAWRENCE KEVIN GUESS M.S., CCC-A
Audiologist
2210 SAN JACINTO BLVD, #2
DENTON, TX 76205
Denton County (940) 898-8569
TEXAS OPTIMUM HEALTHCARE, LLC
Family Medicine
2210 SAN JACINTO BLVD, STE. 4
DENTON, TX 76205
Denton County (940) 387-3837
THOMAS A. CADENHEAD, MD, PA
Otolaryngology (Otology & Neurotology)
2210 SAN JACINTO BLVD, SUITE 2
DENTON, TX 76205
Denton County (940) 898-8569
M SIDDHAPPAN MD PA
Family Medicine
2210 SAN JACINTO BLVD, SUITE 4
DENTON, TX 76205
Denton County (425) 830-7768
PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Podiatrist (Foot Surgery)
2210 SAN JACINTO BLVD, SUITE 5
DENTON, TX 76205
Denton County (940) 566-1919

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 Paul Middleton's NPI number?

The NPI number for Paul Middleton is 1578709762. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Where is Paul Middleton located?

Paul Middleton practices at 2210 San Jacinto Blvd, Denton, TX 76205. The listed phone number is (940) 382-8000.

What is Paul Middleton's specialty?

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

Is Paul Middleton enrolled in Medicare?

Yes. Paul Middleton 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 Paul Middleton 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 10 other insurers list Paul Middleton 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 Paul Middleton was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.