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HELEN K LI MD
NPI 1598824740
Ophthalmology in Houston, TX

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6550 FANNIN ST STE 2317, HOUSTON, TX 77030(281) 407-3033(281) 763-2623 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Helen K Li Md NPPES

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

HELEN K LI MD (NPI 1598824740) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (H1981) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At Houston (1986).

NPPES Registry Identity

NPI1598824740
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHELEN K LICredential: MD
Location Address6550 FANNIN ST STE 2317Houston, TX 77030-2723
Mailing Address6550 Fannin St Ste 2317Houston, TX 77030-2723 · (281) 407-3033 · Fax (281) 763-2623
Phone(281) 407-3033
Fax(281) 763-2623
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1986
Enumeration DateDecember 6, 2006
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1598824740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · H1981
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.
6550 FANNIN ST STE 2317, Houston, TX 77030
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Other Identifiers 3

Medicare PINTXB141670TX
Medicare UPINE52115TX
Medicaid042012702TX

Accepted Insurance

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

Helen K Li 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 ID840320370
PECOS Enrollment IDI20100610000279
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 12

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,700 services17 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.
343 services139 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
242 services44 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
104 services14 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.
85 services53 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.
77 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%137 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%32 patients
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
99%115 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%901 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%231 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%276 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 244 patients
Patients totalRate: 0% · 244 patients
0%244 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.

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 Helen Li's NPI number?

The NPI number for Helen Li is 1598824740. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Helen Li located?

Helen Li practices at 6550 Fannin St Ste 2317, Houston, TX 77030. The listed phone number is (281) 407-3033.

What is Helen Li's specialty?

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

Is Helen Li enrolled in Medicare?

Yes. Helen Li 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 Helen Li accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Helen Li 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.

Is Helen Li affiliated with any hospitals?

According to CMS data, Helen Li is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Helen Li was last updated on January 25, 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.