CLAUDIA GOMEZ HOOTEN M.D.
NPI 1629360458
Ophthalmology - Retina Specialist in El Paso, TX

Q: What is Claudia Hooten's NPI number?

The NPI number for Claudia Hooten is 1629360458. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Q: What is Claudia Hooten's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Claudia Hooten was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment

99.82/100

CMS Quality Rating

1700 CURIE DR STE 3800, EL PASO, TX 79902(915) 532-3912(915) 533-8442 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Mar 5, 2026, Jul 21, 2022 and 3 more (6 updates tracked since 2016).

On this page

About Claudia Gomez Hooten M.d. NPPES

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

CLAUDIA GOMEZ HOOTEN M.D. (NPI 1629360458) is an individual retina specialist in El Paso, Texas, licensed in Texas (V9015) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Florida College Of Medicine (2011).

NPPES Registry Identity

NPI1629360458

Entity TypeIndividualFemale

Primary Taxonomy207WX0107X

Provider Legal NameCLAUDIA GOMEZ HOOTENCredential: M.D.

Location Address1700 CURIE DR STE 3800El Paso, TX 79902-2985

Mailing Address7501 Greenway Center Dr, Ste 300Greenbelt, MD 20770-3514 · (808) 955-0255 · Fax (808) 955-4155

Phone(915) 532-3912

Fax(915) 533-8442

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2011

Enumeration DateMay 12, 2011

Last NPPES UpdateJuly 13, 20266 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1629360458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in TX · V9015✔ Licensed in NM · MD2025-0219

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

1700 CURIE DR STE 3800, El Paso, TX 79902

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13900 E Lohman AveLas Cruces, NM 88011-8268 · Phone (915) 532-3912 ext. 23912 · Fax (915) 533-8442

Location 211331 James Watt Dr Ste 400El Paso, TX 79936-6405 · Phone (915) 532-3912 ext. 93153 · Fax (915) 533-8442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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

Claudia Gomez Hooten M.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 ID7315252640

PECOS Enrollment IDI20250424000756, I20250604000830

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 Reassignments

Medicare enrollment records show Claudia Hooten reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Retina Consultants, P.A.

Same address

Specialist

1700 CURIE DR STE 3800
El Paso, TX 79902

Reassigned Medicare billing, New Mexico and Texas enrollments
Medicare enrollment name: Southwest Retina Consultants PA
7 clinicians in this Medicare group

NPI 1780797431 (915) 532-3912

Children's Hospital

1,727 mi

Pediatrics

111 MICHIGAN AVE NW
Washington, DC 20010

Reassigned Medicare billing, District of Columbia enrollment
1,417 clinicians in this Medicare group

NPI 1780800128 (202) 476-5000

The Retina Group Of Washington, PLLC

1,735 mi

Ophthalmology

7501 GREENWAY CENTER DR STE 700
Greenbelt, MD 20770

Reassigned Medicare billing, Maryland and Virginia enrollments
54 clinicians in this Medicare group

NPI 1225001654 (301) 441-4577

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 22

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.

11,100 services39 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.

2,769 services1,101 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.

2,701 services1,062 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

2,172 services913 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.

1,338 services332 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.

1,240 services190 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

380 services303 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

236 services236 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

206 services58 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

203 services19 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

82 services45 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

69 services69 patients

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.

57 services45 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

46 services25 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

45 services27 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

39 services34 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

26 services13 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

20 services19 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

17 services16 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

14 services14 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.

12 services12 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 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.

99.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

99.78

Improvement Activities

Reported Quality Measures

Adult Primary Rhegmatogenous Retinal Detachment Surgery: No Return to the Operating Room Within 90 Days of Surgery

100%35 patients5/55-star benchmark: 100%

Adult Primary Rhegmatogenous Retinal Detachment Surgery: Visual Acuity Improvement Within 90 Days of Surgery

81%21 patients4/55-star benchmark: 99%

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

99%555 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%818 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

100%105 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

100%669 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%6,845 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

78%1,517 patients4/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

93%72 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,697 patients

Patients screened: 100% · 1,697 patients

96%90 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

99%174 patients

Tobacco Use and Help with Quitting Among Adolescents

100%49 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,609 patients

Patients totalRate: 0% · 1,609 patients

0%1,609 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 4

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

ANINDYA SAMANTA MD

Ophthalmology (Retina Specialist)

1700 CURIE DR STE 3800
EL PASO, TX 79902

El Paso County (915) 532-3912

RICHARD YI-JEN HWANG M.D., PH.D.

Ophthalmology (Retina Specialist)

1700 CURIE DR STE 3800
EL PASO, TX 79902

El Paso County (915) 532-3912

DR. DANIEL KASUGA MD

Ophthalmology (Retina Specialist)

1700 CURIE DR STE 3800
EL PASO, TX 79902

El Paso County (915) 532-3912

SOUTHWEST RETINA CONSULTANTS, P.A.

Specialist

1700 CURIE DR STE 3800
EL PASO, TX 79902

El Paso County (915) 532-3912

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 Claudia Hooten's NPI number?

The NPI number for Claudia Hooten is 1629360458. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Claudia Hooten located?

Claudia Hooten practices at 1700 Curie Dr Ste 3800, El Paso, TX 79902. The listed phone number is (915) 532-3912.

What is Claudia Hooten's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Claudia Hooten enrolled in Medicare?

Yes. Claudia Hooten 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 organizations bill Medicare for Claudia Hooten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Hooten reassigns Medicare benefits to 3 organizations: Southwest Retina Consultants, P.A. (El Paso, TX), Children's Hospital (Washington, DC) and The Retina Group Of Washington, PLLC (Greenbelt, MD). Each 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 Claudia Hooten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Hooten accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 8 other insurers list Claudia Hooten 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 Claudia Hooten was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.