Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAWARISSARA OSATHANUGRAH
NPI 1679102669
Ophthalmology in Pflugerville, TX

Q: What is Pawarissara Osathanugrah's NPI number?

The NPI number for Pawarissara Osathanugrah is 1679102669. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Pawarissara Osathanugrah's specialty?

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

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

2600 E PFLUGERVILLE PKWY BLDG 2, PFLUGERVILLE, TX 78660(512) 654-6500(512) 654-6501 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Sep 19, 2025, Sep 3, 2025 and 2 more (5 updates tracked since 2020).

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About Pawarissara Osathanugrah NPPES

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

PAWARISSARA OSATHANUGRAH (NPI 1679102669) is an individual ophthalmology provider in Pflugerville, Texas, licensed in Texas (W1076) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Pflugerville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679102669

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NamePAWARISSARA OSATHANUGRAH

Location Address2600 E PFLUGERVILLE PKWY BLDG 2Pflugerville, TX 78660-5998

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(512) 654-6500

Fax(512) 654-6501

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateJune 8, 20265 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1679102669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in TX · W1076✔ Licensed in FL · ME166255

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 284761 (MA)

2600 E PFLUGERVILLE PKWY BLDG 2, Pflugerville, TX 78660

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Secondary Practice Locations 2

Location 185 E Concord StBoston, MA 02118-2335 · Phone (617) 414-4020

Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1401

Other Identifiers 2

Medicaid128267600FL

OtherV5309FL · Hfmg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Pawarissara Osathanugrah 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 ID4981006418

PECOS Enrollment IDI20240712001270, I20251208003827

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 8

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.

54 services46 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.

34 services34 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.

16 services16 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.

15 services15 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.

14 services14 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).

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670128

Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78660 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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 6

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

DY CHIN DPM

Podiatrist (Primary Podiatric Medicine)