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DR. TERESA PAULINE HORAN MD
NPI 1629539788
Ophthalmology - Glaucoma Specialist in Baltimore, MD

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
419 W REDWOOD ST, BALTIMORE, MD 21201(667) 214-1111 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2024, Jun 9, 2024, Jul 5, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Teresa Pauline Horan Md NPPES

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

DR. TERESA PAULINE HORAN MD (NPI 1629539788) is an individual glaucoma specialist in Baltimore, Maryland, licensed in Maryland (D0099690) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629539788
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameDR. TERESA PAULINE HORANCredential: MD
Location Address419 W REDWOOD STBaltimore, MD 21201-1734
Mailing Address419 W Redwood St Ste 470Baltimore, MD 21201-7009 · (667) 214-1111 · Fax (410) 328-1178
Phone(667) 214-1111
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateJuly 7, 20245 updates tracked since enumeration
NPPES CertifiedJuly 7, 2024
✔ NPI 1629539788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in MD · D0099690
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License D0099690 (MD)
419 W REDWOOD ST, Baltimore, MD 21201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Teresa Pauline Horan 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 ID2860858651
PECOS Enrollment IDI20240930001537
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 11

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.
121 services103 patients
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.
75 services65 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).
70 services70 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.
54 services54 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
53 services53 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

University Of MD Medical Center Midtown Campus

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210038
Location827 Linden AvenueBaltimore, MD 21201 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Surgery
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1718
RADHIKA SRIVASTAVA
Dermatology
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1199
LILY T IM MD
Ophthalmology
419 W REDWOOD ST, SUITE 479
BALTIMORE, MD 21201
Baltimore City (410) 328-5918
JINAE ARNEKLEV CRNP
Nurse Practitioner (Family)
419 W REDWOOD ST, SUITE 160
BALTIMORE, MD 21201
Baltimore City (410) 528-3167
SARAH D CRIMMINS DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
419 W REDWOOD ST, SUITE 500
BALTIMORE, MD 21201
Baltimore City (667) 214-1300
MARGARET LOUISE VINCENT LCSW
Social Worker (Clinical)
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (410) 328-1935
EMILY BRUSH CRNP
Nurse Practitioner
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1718
ANDREW R. DELAPENHA M.D.
Internal Medicine
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1515

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 Teresa Horan's NPI number?

The NPI number for Teresa Horan is 1629539788. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Teresa Horan located?

Teresa Horan practices at 419 W Redwood St, Baltimore, MD 21201. The listed phone number is (667) 214-1111.

What is Teresa Horan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Teresa Horan enrolled in Medicare?

Yes. Teresa Horan 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 Teresa Horan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Teresa Horan 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 Teresa Horan affiliated with any hospitals?

According to CMS data, Teresa Horan is affiliated with University Of Maryland Medical Center and University Of MD Medical Center Midtown Campus.

When was this NPI record last updated?

The NPPES record for Teresa Horan was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.